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Field Case Manager - RN or Social Worker


Are you an experienced RN Registered Nurse, or Social Worker Case Manager looking for a new opportunity with a prestigious healthcare company? Do you want the chance to advance your career by joining a rapidly growing company? If you answered "yes" to any of these questions - this is the position for you!

Company Job Title: RN/Social Worker Case Manager
Employment Type: Permanent
Compensation: 64,580-85k
Shift: M-F 8am-5pm (90% office based and 10% local travel)
Start Date: after 4/13 need people asap
Minimum Education/Licensures/Qualifications of RN Social Worker Case Manager:
o Registered Nurse of CA
o Licensed Social Worker (LCSW or MSW)
o Case Management or Clinical experience
Preferred but not a MUST: RN and CCM
Company Job Description/Day to Day Duties for RN Social Worker Case Manager:
o Case management services to members with chronic or complex conditions in Medicare/Medicaid populations (LTC, Homes, and Facilities)
o Responsible for health care management and coordination of members in order to achieve optimal clinical, financial and quality of life outcomes. Works with members to create and implement an integrated collaborative plan of care.
o Coordinates and monitors member's progress and services to ensure consistent cost effective care that complies with policy and all state and federal regulations and guidelines.
Essential Functions of RN Social Worker Case Manager:
o Provides case management services to members with chronic or complex conditions including:
o Proactively identifies members that may qualify for potential case management services.
o Conducts assessment of member needs by collecting in-depth information from information system, the member, member's family/caregiver, hospital staff, physicians and other providers.
o Identifies, assesses and manages members per established criteria.
o Develops and implements a case management plan in collaboration with the member, caregiver, physician and/or other appropriate healthcare professionals to address the member needs.
o Performs ongoing monitoring of the plan of care to evaluate effectiveness.
o Documents care plan progress in information system.
o Evaluates effectiveness of the care plan and modifies as appropriate to reach optimal outcomes.
o Measures the effectiveness of interventions to determine case management outcomes
Want More Information?
Interested in hearing more about this great opportunity? Reach out to Marjorie Mora at email removed for immediate consideration.

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