Complex Care Manager-Community - NurseRecruiter.com

Complex Care Manager-Community

Complex Care Manager-Community
RN
New Orleans, LA
Permanent
AbsoluteCare

AbsoluteCare

Join our team. AbsoluteCare is where passion meets compassion. If you have both, we’re looking for you. The wide range of services we offer means job opportunities abound for talented, caring professionals.
$85,000/year
I'm Interested

Job Details

Description

Complex Care Manager-Community

Job Description:
Job Summary



This role is a member of the integrated community care team (ICCT), providing integrated case management for members with complex medical, behavioral, and social determinants of health needs. The CCM is assigned providers in the Community. Members are assigned to the CCM based health instabilities, utilization and healthcare spend. The CCM completes a comprehensive assessment and creates a person-centered care plan that identifies and prioritizes health care goals with the member. The CCM supports members meeting their goals through clinical interventions, education, motivational interviewing, self-management coaching and complex case management service including navigation of health plan benefits. The CCM coordinates the services with our community primary care providers, health plan programs, AbsoluteCare services, community resources, and specialists required to meet the member’s individual needs and meet value-based outcomes. The CCM meets members where they are conducting member visits in the home, community and/or office setting including the Comprehensive Care Center.



Duties and Responsibilities



Meet with community primary care providers on a regular basis and review assigned member care plans and ongoing health needs.
Attend member visits at their primary care provider or specialist office appointments and provide follow-up support for care coordination needs.
Complete comprehensive assessment and person-centered care plans (PCCP) for each member on the assigned caseload.
Manage person-centered care plans and member contact in compliance with all agency requirements, internal protocols, and accreditation standards.
Develop, implement, and maintain person-centered care plans using SMART goals.
Maintain up to date PCCPs in the electronic health record, including objective measures to track progress required to successfully track and complete treatment plan goals.
Provide education with teach back regarding medical, behavioral, and functional health conditions, symptoms, and treatment options.
Provide evidence-based clinical interventions centered on established person-centered care plan goals using a variety of approaches, e.g., trauma informed care, harm reduction, behavior change modalities, motivational interviewing, teach back methods and problem solving.
Meet established Key Performance Indicators.
Manage assigned caseload based on contact frequency requirements and utilization data.
Proactively mitigate/resolve barriers to care to increase adherence to treatment plan.
Collaborate with the ICT to update the team on member progress and needs and provide CCM recommendations for members to stabilize health and overcome barriers to social determinants of health.
Assist members in accessing and engaging with services and resources.
Maintain schedule in the clinical system and document all interactions within 1 business day.
Actively participate in required meetings.
Follow up on member compliance to service or resource referrals.


Minimum Qualifications



Must be willing and able to travel up to 80% of the time to member homes, member appointments at healthcare facilities and provider offices and/or other sites within local communities.
Licensed clinician (RN, LCSW, LMSW, LMHC, LPC) by the state in which practicing and abide by all laws, regulations, and requirements. Preference given to qualified case managers with CCM credentials. CMGT-BC, CCTM, C-SWCM, C-ASWCM, ACM or FAACM will be considered.
Preference will be given to RN or licensed clinician with extensive experience in chronic condition and medical case management in the community.
In lieu of CCM credential, 3+ integrated case management experience. Must obtain CCM within 24 months of hire date.
3+ years of experience in serving the needs of complex populations, including medically complex, trauma history, mental health conditions, substance abuse, and socioeconomic barriers in an office or community-based setting.
Preference given to qualified candidate with multiple settings experience (Inpatient, LTPAC, home health, corrections, community programs and/or human service agencies.)
Experience with complex government-sponsored populations preferred, e.g., Medicaid, Medicare beneficiaries
Experience with member engagement, transitions of care, clinical care, and/or case management
Must be willing to travel to meet the member where they are and support their care including specialist offices, outpatient centers, dialysis centers.
Excellent computer skills including Microsoft Office Suite (Outlook, Excel, PowerPoint, Word) and electronic medical record documentation required.
Excellent written and oral communication skills to interact with members, families, community stakeholders, and interdisciplinary team required.
Ability to meet accreditation and quality standards including, but not limited to NCQA, PCMH, HEDIS through following defined procedures to assess, intervene and document interactions.
Ability to work independently and exercise excellent clinical judgement.
Active unencumbered driver’s license, with automobile insurance, reliable transportation, and ability to work in office and in the community.
Hold and maintain active driver’s license and proof of insurance in state of practice.




AbsoluteCare, Inc. provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to sex, gender identity, sexual orientation, race, color, religion, national origin, age, disability, genetics, protected Veteran status, or any other characteristic protected by law or policy.

Location
New Orleans, Louisiana 70174
Profession
Registered Nurse
Employment Type
Permanent
Compensation
$85,000/year
Employer
AbsoluteCare
Not what you're looking for?
Browse Similar Registered Nurse Jobs in Louisiana
Registered Nurse - Ask about incentives!
RN - Rehab
Shreveport, LA
Permanent
Encompass Health

Encompass Health

As a registered nurse (RN), you’ll be the connection between compassionate care and the real, positive results your patients are striving to achieve. Use your skills within our inpatient rehabilitation setting to provide the nursing perspective and attention to detail that our highly specialized, integrated team approach requires. Elevate expectati... Read More
RN Emergency Room job in Alexandria, LA
RN - ER
Alexandria, LA
Travel/Contract
Host Healthcare

Host Healthcare

Estimated Hourly Pay: $18.00 - $25.00 Estimated Weekly Gross Pay: $1455.19 - $1604.40 WHY CHOOSE HOST HEALTHCARE? Because a great Host provides a worry-free travel experience and always puts your needs first. Our passionate and transparent team members have made Host Healthcare the #1 ranked Travel Healthcare company in the U.S. Our recruiters ac... Read More
$1,604.40/week
I'm Interested
RN Emergency Room
RN - ER
West Monroe, LA
Permanent
Steward Healthcare

Steward Healthcare

POSITION SUMMARY The Emergency Room RN is responsible and accountable for directing, planning and organizing the nursing activities on the ER unit for an assigned shift with focus on patient, physician and staff needs. The emergency nurse provides rapid assessment and treatment to patients in the initial phase of illness or trauma and often in lif... Read More
$75,000/year
I'm Interested
Registered Nurse - Ask about incentives!
RN - Rehab
Alexandria, LA
Permanent
Encompass Health

Encompass Health

As a registered nurse (RN), you’ll be the connection between compassionate care and the real, positive results your patients are striving to achieve. Use your skills within our inpatient rehabilitation setting to provide the nursing perspective and attention to detail that our highly specialized, integrated team approach requires. Elevate expectati... Read More
RN Telemetry job in Monroe, LA
RN - Tele
Monroe, LA
Travel/Contract
Host Healthcare

Host Healthcare

Estimated Hourly Pay: $20.81 - $27.81 Estimated Weekly Gross Pay: $2344.05 - $2497.07 WHY CHOOSE HOST HEALTHCARE? Because a great Host provides a worry-free travel experience and always puts your needs first. Our passionate and transparent team members have made Host Healthcare the #1 ranked Travel Healthcare company in the U.S. Our recruiters ac... Read More
$2,497.07/week
I'm Interested