Case Manager

Primary Responsibilities

• Create and promote adherence to treatment plans, as developed by patients’ healthcare providers
• Create and maintain accurate, detailed clinical patient reports for clients and carriers
• Monitor and document adherence to treatment plans, evaluate effectiveness, monitor patient progress in a timely manner
• Increase continuity of care by managing relationships with tertiary care providers, transitions-in-care, and referrals
• Increase patients’ ability for self-management and shared decision making
• Increase comprehension through culturally and linguistically appropriate education
• Assist with medication reconciliation
• Connect patients to relevant community resources, with the goal of enhancing patient health and wellbeing.
• Serve as the contact point, advocate, and informational resource for patients, care team, family/caregiver(s), stop-loss carrier, and community resources
• Assess a patient’s unmet health and social needs
• Acknowledges patient’s right on confidentiality issues, always maintains patient confidentiality and follows HIPAA guidelines and regulations

Qualifications

• Current standing as a registered nurse (RN) or licensed practical nurse (LPN) required
• 5 years of experience in a clinical or community resource setting/care coordination required
• 2 years of case management experience required
• Highly organized with ability to keep accurate notes and records
• Evidence of essential leadership, communication, education and counseling skills
• Proficient computing skills and the ability to learn new systems
• Exemplary telecommunication skills
• Maintains high level of professionalism and confidentiality

Benefits

• Comprehensive medical, dental, vision, and life insurance coverage
• 401(k) retirement plan with employer match
• Health Savings Account (HSA) & Flexible Spending Accounts (FSAs)
• Paid time off (PTO)