RN Case Manager with Complex Disease
Milwaukee, Wisconsin
Intro:
Are you an experienced RN Case Manager with Complex Disease looking for a new opportunity with a prestigious healthcare company? Do you want the chance to advance your career by joining a rapidly growing company? If you answered “yes” to any of these questions – this is the position for you!
Position Summary:
Position Purpose:
As an RN Case Managers with Complex Disease, you will be responsible for the management and coordination of Case Management services for members with complex needs and requiring complex services. You will work directly with the member, providers(s), facilities and other entities to ensure the most appropriate care is provided. The Case Manager manages members from all product lines. The Case Manager assesses, plans, implements, coordinates, monitors, and evaluates the outcomes, ensuring options and services required to meet the member’s health needs are best utilized. The Case Manager provides advocacy, communication, and resource management and promotes quality and cost-effective interventions and outcomes. The Case Manager assists members with major or complicated health problems in the coordination of their healthcare needs, education and identification of resources available to stabilize or improve their health. The goal of case management is to stabilize the member’s health and/or decrease exacerbations leading to increased utilization of health care resources, such as emergency room visits and hospital stays.
Hours for this Position:
Monday – Friday 8:00 am to 5:00 pm
85% office and 15% field
Advantages of this Opportunity:
- Growing Company
- Great benefits!
Required Skills
What We Look For:
- Valid RN license in the state of WI
- 1-2 years’ experience in hospital setting in sub-acute or home healthcare
- 1 year of case and/or utilization management experience
- CCM (Certified Case Manager) experience a Big plus!
Responsibilities
More Insight of Daily Responsibilities:
- Develop, assess and adjust as necessary the care plan and promote desired outcome.
- Coordinate services between Primary Care Physician (PCP) specialist, and other medical and non-medical providers as necessary to meet the complete medical socio economic needs of clients.
- Participate in face to face visits with high risk members at point of service as needed. For BCHP only, participate in face to face visits with high risk members at point of service.
- Provide patient and provider education.
- Identify related risk management quality concerns and report these scenarios to the appropriate resources.
- Data enters assessments and authorizations into the system.
Want More Information?
Interested in hearing more about this great opportunity? Reach out to Shanna Ramirez at sramirez@healthcaresupport.com for immediate consideration.
Why You Should Work For Us:
HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career!
Salary
$58- 66K