RN Case Manager - 247891 New

Job Title: Intensive Care Coordinator (RN Case Manager)

Key Responsibilities and Activities

• Complex Clinical Care Coordination: Responsible for members with the highest acuity/risk.
• Comprehensive Assessments: Conducting thorough, biopsychosocial assessments to evaluate clinical history, support, and complex needs (physical health, behavioral health, co-occurring disorders, social determinants of health).
• Care Planning: Developing, implementing, and monitoring strengths-based care plans
• Coordination and Intervention: Coordinating services, monitoring providers, delivering care coordination interventions via multiple modalities (mobile, in-home, online, telephone), and liaising between providers, family, and the Utilization Management teams.
• Risk Reduction: Identifying risk factors leading to increased utilization and working to reduce preventable hospitalizations, readmissions, and inappropriate utilization.
• Documentation: Completing all documentation in the expected time frame, with a strong emphasis on detail

Qualifications

1. RN License in Colorado.
2. Must live in the Denver Metro area.
3. Clinical experience with patients/people with complex medical conditions.
4. Critical thinking skills and the ability to draw conclusions based on assessment.
5. Thorough documentation and detail-oriented skills.

Experience and Education

• Experience: At least three years of clinical, care management, and/or healthcare experience, with a strong preference for hospital experience
• Education: RN License in Colorado.

Schedule: Monday-Friday 8-5pm

• This is 95% a work from home position with very occasional visits to hospitals or health centers if needed

*We will consider for employment all qualified Applicants, including those with criminal histories, in a manner consistent with the requirements of applicable federal, state, and local laws, including the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance (FCIHO), Los Angeles Fair Chance Ordinance for Employers (ULAC), The San Francisco Fair Chance Ordinance (FCO), and the California Fair Chance Act (CFCA).

*As a job position within our Care Management division, a successful completion of a background check may be required as a condition of employment. This requirement is directly related to essential job functions including but not limited to: accessing financial and confidential information, access and handling of patient medical records, providing medical care inside a patient’s residential address, driving, prescription and other drug access and administration, and working with vulnerable populations, such as, minors, elderly and those with physical or mental disabilities. Due to these job duties, this position has a significant impact on the business operations and reputation, as well as the safety and well-being of individuals who may be cared for as part of the job position or who may interact with staff or clients.