Care Manager I RN
: Job Details :

Immediate need for a talented Care Manager I RN. This is a 03+ Months contract opportunity with long-term potential and is located in EST, but Must have NY licensure (Remote). Please review the job description below and contact me ASAP if you are interested.

Job ID: 24-19306

Pay Range: $38 - $42/hour. Employee benefits include, but are not limited to, health insurance (medical, dental, vision), 401(k) plan, and paid sick leave (depending on work location).

Key Responsibilities:

• 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.

Key Requirements and Technology Experience:

• Registered Nurse, 5 plus years clinical RN experience
• Compact License
• 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.

Preferred Skills:

• Medicare Case management experience
• CCM certification
• Education Requirement: RN
• Software Skills Required: Computer literacy, needs to be able to work independently
• Required Certifications: RN

Our client is a leading Healthcare organization, and we are currently interviewing to fill this and other similar contract positions. If you are interested in this position, please apply online for immediate consideration.

Pyramid Consulting, Inc. provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, colour, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.