USA
1 day ago
Nurse Case Manager II - Transition OD Care Registered Nurse
Our Client, a Retail Pharmacy company, is looking for a Nurse Case Manager II - Transition OD Care Registered Nurse for their Tampa, FL (Hillsborough County FL, Highlands County FL, Polk County FL, Hardee County FL, and Manatee County FL) location. Responsibilities: + Complete at least 10 NF member assessments weekly + Support the Health Plan Rebalancing Initiative goal of successful transitions: Assess, identify, screen and transition NH members into the community + Follow up on CM referrals and visit current NH members in-person at least twice a week to complete the rebalancing events and screening assessments. + Complete telephonic or in-person contact to assess the home prior to discharge and identify any environmental supports needed to support transition (i.e. ramp, DME installation etc.). + Conduct an in-person Significant Change Visit with member and Rep if applicable, within 5 days of transition. + Coordinate provision of services as needed, establish Plan of Care, and document all actions taken. + Contact facility’s Business Office once a week to follow-up on mbr’s census and will coordinate with Social Services and CM to facilitate discharge. + Work collaboratively with case managers to identify high risk community members and implement appropriate interventions to prevent lapse or coordinate safe transition (Upon receiving referral) + Drive enhanced value of health care to increase member satisfaction and retention, and drive new membership growth. + Be involved in at least two community relations event per year + Engage in building strong relationships that contribute towards member satisfaction and retention Requirements: + Candidate must reside in FL and area of coverage.- Minimum 2 years of clinical experience- Bi-Lingual Spanish/ English required + Managed Care experience-Discharge coordination experience-Transition of care experience-Home Health experience- Case Management experience-- Position requires proficiency with computer skills which includes navigating multiple systems- Ability to work in a fast-paced environment + Experience Level: Specify the level of experience required mid-level + Network Access + Client/Health Care Management + The Case Manager utilizes a collaborative process of assessment, planning, facilitation and advocacy for options and services to meet an individual’s benefit plan and/or health needs through communication and available resources to promote optimal, cost-effective outcomes. + Active, unrestricted and good standing RN license in the state of Florida. + Associate Degree Required and BSN preferred. + Managed Care experience-Discharge coordination experience + Transition of care experience + Home Health experience + Case Management experience + Position requires proficiency with computer skills which includes navigating multiple systems + Ability to work in a fast-paced environment + Specify the level of experience required mid-level Why Should You Apply? + Health Benefits + Referral Program + Excellent growth and advancement opportunities As an equal opportunity employer, ICONMA provides an employment environment that supports and encourages the abilities of all persons without regard to race, color, religion, gender, sexual orientation, gender identity or express, ethnicity, national origin, age, disability status, political affiliation, genetics, marital status, protected veteran status, or any other characteristic protected by federal, state, or local laws.
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