Care Manager (RN)

Care Manager (RN)
02+ months
Remote - MI market

Walk me through the day-to-day responsibilities of this the role and a description of the project 

• Remote telephonic case management, Care manager (CM) follows model of care to assist member in managing health care needs.
• Conducts initial assessments, medication review, develops care plan with member, identifies  member needs and connects member with appropriate resources to meet health care needs.
• Interacts with members care team, community services, vendors.
• Follows up with member every 30 days at minimum to review conditions, progress toward goals, and ensure member is receiving requested information and/or services.
• Provides education on member health plan and coverage and management of identified health conditions.

Describe the performance expectations/metrics for this individual and their team:

• CM caseload expectation is 75 actively managed members,  Audit score of 90%or greater, Case duration 90 days.

Tell me about what their first day looks like:

• First day is usually corporate HR training, Setting up company issued equipment and access necessary to perform role specific duties.

 
What previous job titles or background work will in this role?

• RN, experience in case management preferred, clinical nursing background of 5 years or more.

  Required Skills/Experience:				Preferred Skills/ Experience:
  1.	Registered Nurse, 5 plus years clinical RN experience			1.	Medicare Case management experience
  2.	Compact License			2.	CCM certification
  3.				3.
  Education Requirement:		Graduate of accredited RN program		Education Preferred:		RN, BSN
  Software Skills Required:		Microsoft office products
  Required Certifications:		Compact Preferred, CCM preferred		Required Testing:

 
 
At SPECTRAFORCE, we are committed to maintaining a workplace that ensures fair compensation and wage transparency in adherence with all applicable state and local laws. This position’s starting pay is: $ 38.26/hr.