Care Manager I (Rn)-Field Based

Centene Corporation Orlando , FL 32801

Posted 3 weeks ago

Position Purpose:

  • Perform care management duties to assess, plan and coordinate all aspects of medical and supporting services across the continuum of care for select members to promote quality, cost effective care

  • Develop, assess and adjust, as necessary, the care plan and promote desired outcome

  • Assess the member's current health status, resource utilization, past and present treatment plan and services, prognosis, short and long term goals, treatment and provider options

  • Coordinate services between Primary Care Physician (PCP), specialists, medical providers, and non-medical staff as necessary to meet the complete medical socio economic needs of clients

  • Develop plan of care based upon assessment with specific objectives, goals and interventions designed to meet member's needs

  • Provide patient and provider education

  • Facilitate member access to community based services

  • Monitor referrals made to community based organizations, medical care and other services to support the members' overall care management plan

  • Actively participate in integrated team care management rounds

  • Identify related risk management quality concerns and report these scenarios to the appropriate resources

  • Enter and maintain assessments, authorizations, and pertinent clinical information into various medical management systems

Education/Experience: Graduate from an Accredited School of Nursing. Bachelor's degree in Nursing preferred. 2 years of clinical nursing experience in a clinical, acute care, or community setting. Knowledge of healthcare and managed care preferred.

Licenses/Certifications: Current state's RN license.

  • Field position/work from home

(field visits are expected post COVID-19, currently all nurses are working from home)

  • Computer skills/Excel

  • Covers 4 counties (Brevard, Orange, Osceola and Seminole)

  • Must be comfortable driving in various conditions (highways, bridges, etc)

Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.

icon no score

See how you match
to the job

Find your dream job anywhere
with the LiveCareer app.
Mobile App Icon
Download the
LiveCareer app and find
your dream job anywhere
App Store Icon Google Play Icon
lc_ad

Boost your job search productivity with our
free Chrome Extension!

lc_apply_tool GET EXTENSION

Similar Jobs

Want to see jobs matched to your resume? Upload One Now! Remove
Restorative Manager Registered Nurse RN Risk Prevention Adventhealth Care Center Orlando North FT Days

Adventist Health System

Posted 1 week ago

VIEW JOBS 10/18/2020 12:00:00 AM 2021-01-16T00:00 Job Description Description Restorative Manager Registered Nurse (RN) Risk Prevention AdventHealth Care Center Orlando North Location Address: 730 Courtland St. Orlando Top Reasons To Work At AdventHealth Care Center Orlando North * AdventHealth Care Center's mission to "Extend the Healing Ministry of Christ" * The opportunity and encouragement to truly care for and love the patients/residents they serve * The opportunity to work with like-minded co-workers who believe and support the organization's mission * The patient-centric focus of meeting the needs of the patient/residents * Being part of a large healthcare organization where we can be "Greater as a Whole" Work Hours/Shift: FT Days You Will Be Responsible For: * Administers specialized nursing whirlpools. * Performs range of motion (passive/active), general strengthening exercises, ambulation/transfer, and activities of daily living. * Ensure the placement of restorative devices/equipment. Ensures all equipment/devices updated on NADS and care plan. * Performs positioning; help turn and position residents. * Administers restorative dining program. * Opens restorative nursing assessment through the assessment schedule weekly. * Ensures restorative C.N.A.s are completing document daily in touchscreen and on nursing restorative assessment in Vision. * Documents a weekly summary on each resident in the restorative program. * Reports and documents significant changes in resident's condition or motivational level. * Notifies Occupational Therapy of feeding problems, referrals, and reassessment needs. * Reports to Physical Therapy any mobility and positioning problems, referrals, and reassessment needs. * Ensures adequate restorative supplies to meet the needs of the restorative residents. * Reinforces team management for bowel/bladder program as indicated. Completes Bladder Incontinence Analysis and Bowel Incontinence Analysis upon admission, annually, and with change of condition. * Works with nursing assistants on Bowel and Bladder procedures. * Restorative nurse is designated continence coordinator * Responsible for application method, sizing, and overseeing of in-room distribution of incontinent products. * Will provide an updated sizing list to vendor on a quarterly basis, and a weekly basis, to Director of Nursing every Friday. Will round with vendor when they complete brief assessment visits. * Works with Central Supply on obtaining the product tracking and distribution form. * Screens residents for incontinent products and size upon admission, quarterly, and as needed and will document findings on the Resident Sizing Qualifications What You Will Need: * Graduate of an accredited School of Nursing * Restorative Measures training or experience * Licensed nurse or clinician in the state of practice * Long term care experience * Florida certification as a Healthcare Risk Manager (Preferred) * Current Basic Life Support (CPR) certification Job Summary: Provides Restorative Nursing measures to assist residents to reach their highest level of independence in Activities of Daily Living while executing the duties of Customer Service/Risk Manager. The position works in collaboration with the Administrator, Director of Nurses, Staff, Physicians, Resource Personnel, Resident and Family members to identify opportunities to provide exceptional customer service, in the identification of actual and potential risk issues and in the formulation and implementation of performance improvement strategies for improved customer service and quality of care outcome This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances. Adventist Health System Orlando FL

Care Manager I (Rn)-Field Based

Centene Corporation