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:

 

About Us: Established in 2004, SPECTRAFORCE® is one of the largest and fastest-growing diversity-owned staffing firms in the US. The growth of our company is a direct result of our global client service delivery model that is powered by our state-of-the-art A.I. proprietary talent acquisition platform, robust ISO 9001:2015/ISO 27001 certified processes, and strong and passionate client engaged teams. We have built our business by providing talent and project-based solutions, including Contingent, Permanent, and Statement of Work (SOW) services to over 140 clients in the US, Canada, Puerto Rico, Costa Rica, and India. Key industries that we service include Technology, Financial Services, Life Sciences, Healthcare, Telecom, Retail, Utilities and Transportation. SPECTRAFORCE is built on a concept of “human connection,” defined by our branding attitude of NEWJOBPHORIA®, which is the excitement of bringing joy and freedom to the work lifestyle so our people and clients can reach their highest potential. Learn more at: http://www.spectraforce.com
 
Benefits: SPECTRAFORCE offers ACA compliant health benefits as well as dental, vision, accident, critical illness, voluntary life, and hospital indemnity insurances to eligible employees. Additional benefits offered to eligible employees include commuter benefits, 401K plan with matching, and a referral bonus program. SPECTRAFORCE provides unpaid leave as well as paid sick leave when required by law.

Equal Opportunity Employer: SPECTRAFORCE is an equal opportunity employer and does not discriminate against any employee or applicant for employment because of race, religion, color, sex, national origin, age, sexual orientation, gender identity, genetic information, disability or veteran status, or any other category protected by applicable federal, state, or local laws. Please contact Human Resources at LOA@spectraforce.com if you require reasonable accommodation. 
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.