Remote Nurse Care Manager in the New Castle County Area

Remote Nurse Care Manager

Job #:

20-02365

Position Type:

Contract

Location:

Dover, DE

Onsite Flexibility:

All Onsite

Job Description

789-1 Remote Nurse Care Manager, Wilmington, DE area 3 months contract

Sigma Inc is currently looking for a Nurse to work as a Care Manager toMaintain oversight over specified panel of members by performing ongoing assessment of members’ health management needs, identifying the right clinical interventions to address member needs and/or triaging members to appropriate resources for additional support.

Responsibilities

Maintain oversight over specified panel of members by performing ongoing assessment of members’ health management needs, identifying the right clinical interventions to address member needs and/or triaging members to appropriate resources for additional support.

For assigned case load, create care plans to address members’ identified needs, remove barriers to care, identify resources, and conduct a number of other activities to help improve the health outcomes of members; care plans include both long and short term goals and plan of regular contacts for re-assessment.

Ensure targeted percentage of patient goal achievement (i.e., realization of member care plan), and other patient outcomes, as applicable, are achieved.

Ensure all activities are documented and conducted in compliance with applicable business process requirements, regulatory requirements and accreditation standards.

Maintain current knowledge and adheres to applicable CMS, state, local, and regulatory agency requirements and applicable standards of practice for case management including those published by CMSA and/or ACMA, as required by the organization.

Other duties as assigned or requested.

Requirements

Educational requirements: High School Diploma/GED

Professional experience, skills and qualifications:

7 years of any combination of clinical, case management and/or disease/condition management experience, provider operations and / or health insurance experience

RN license in DE.

Written and verbal presentation skills, negotiation skills, and skills in positively influencing others with respect and compassion

Broad knowledge of disease processes

Understanding of healthcare costs and the broader healthcare service delivery system

Proficiency in MS Excel and computer skills.

Strong analytic skills with ability to interpret, evaluate and act on clinical and financial data, including analysis of statistical data

Excellent interpersonal/ consensus building skills as well as the ability to work with a variety of internal and external colleagues from all levels of an organization

Ability to work in a high performing team environment that requires flexibility

Demonstrated ability to handle multiple priorities in a fast paced environment. Excellent organizational, time management, problem solving, and project management skills

Self-directed; self-starter, ability to work successfully with indirect supervision and moderate autonomy

Must be based in the New Castle County area

Preferred Qualifications:

Educational requirements: Bachelor’s Degree in Nursing

Professional experience, skills and qualifications:

Advanced training and experience in cognitive behavioral therapy (CBT), motivational interviewing or dialectical behavior therapy (DBT)

Experience working with the healthcare needs of diverse populations

Understanding of the importance of cultural competency in addressing targeted populations

Experience working at either Quantum or Accolade

Certification in Case Management
Read More
Telecommute Job Postings : Freelance : Telecommuting : Employment : Telecommute – VirtualVocations.com

Scroll to Top