Registered nurse (rn) care coordinator quality medical management

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Registered nurse (rn) care coordinator quality medical management

Location:

Dieterich, IL

Description:

You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility. THIS POSITION IS REMOTE/WORK FROM HOME. THIS ROLE IS SUPPORTING THE YOUTHCARE/FOSTER CARE PROGRAM AND REQUIRES A BSN RN LICENSURE. MUST BE ABLE TO TRAVEL APPROXIMATELY 25% OF THE TIME IN THE ASSIGNED COUNTIES. Perform care management duties to assess, plan and coordinate all aspects of medical and supporting services across the continuum of care for select members to promote quality, cost effective care Develop, assess and adjust, as necessary, the care plan and promote desired outcome Assess the member's current health status, resource utilization, past and present treatment plan and services, prognosis, short and long term goals, treatment and provider options Coordinate services between Primary Care Physician (PCP), specialists, medical providers, and non-medical staff as necessary to meet the complete medical socio economic needs of clients Develop plan of care based upon assessment with specific objectives, goals and interventions designed to meet member's needs Facilitate member access to community based services Monitor referrals made to community based organizations, medical care and other services to support the members’ overall care management plan Actively participate in integrated team care management rounds Identify related risk management quality concerns and report these scenarios to the appropriate resources Enter and maintain assessments, authorizations, and pertinent clinical information into various medical management systems 25% travel to perform home visits to members 1 x 30 days or 1 x 90 days based on the waiver program they are in. Education/Experience: Graduate from an Accredited School of Nursing. Bachelor’s degree in Nursing preferred. 2+ years of clinical nursing experience in a clinical, acute care, or community setting. Knowledge of healthcare and managed care preferred. For Illinois Youth Care contract: Required Education/Experience – Bachelor’s Degree in nursing and RN licensure required. 00 per year Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401 K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. For more details: https://jobs-search.org/registered-nurse_dieterich-c429146/registered-nurse-rn-care-coordinator-quality-medical-management-dieterich_i2153380170

Posted:

May 14 on Jobs-Search

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Registered nurse (rn) care coordinator quality medical management | Care Coordinator, Registered N1

Registered nurse (rn) care coordinator quality medical management

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