Remote with future possibility of onsiteDescription:This position is working remotely and will require home visits and possible visits to Nursing Facility.Nurse Case manager is responsible for telephonically and/or face to face assessing, planning, implementing and coordinating all case management activities with members to evaluate the medical needs of the member to facilitate the member’s overall wellness.Develops a proactive course of action to address issues presented to enhance the short and long-term outcomes as well as opportunities to enhance a member’s overall wellness through integration.Services strategies policies and programs are comprised of network management and clinical coverage policies.Coordinates and implements assigned care plan activities and monitors care plan progressConducts multidisciplinary review in order to achieve optimal outcomes - Identifies and escalates quality of care issues through established channelsUtilizes negotiation skills to secure appropriate options and services necessary to meet the member’s benefits and/or healthcare needsUtilizes influencing/ motivational interviewing skills to ensure maximum member engagement and promote lifestyle/behavior changes to achieve optimum level of healthProvides coaching, information and support to empower the member to make ongoing independent medical and/or healthy lifestyle choicesHelps member actively and knowledgeably participate with their provider in healthcare decision-makingMonitoring, Evaluation and Documentation of Care: Utilizes case management and quality management processes in compliance with regulatory and accreditation guidelines and company policies and proceduresDutiesThis position is work from home and will require home visits and possible visits to Nursing Facility.-Experience- License Registered Nurse- 3+ years clinical practice experience- 1+ year Case Management experiencePosition SummaryThe Case manager utilizes a collaborative process of assessment, planning, facilitation and advocacy for options and services to meet an individual’s benefit plan and/or health needs through communication and available resources to promote optimal, cost-effective outcomes.Requires an RN with unrestricted active licenseEducationRN with current unrestricted State licensure.Notes:Mon-Fri 8am to 5 pmremote with future possibility of onsiteLocal travel: 50-75% Territory includes Dallas, Ellis, Navarro, Kaufman, Rockwall, Hunt, Collin and/ or Tarrant countyVIVA is an equal opportunity employer. All qualified applicants have an equal opportunity for placement, and all employees have an equal opportunity to develop on the job. This means that VIVA will not discriminate against any employee or qualified applicant on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status
Description:This position is working remotely and will require home visits and possible visits to Nursing Facility.Nurse Case manager is responsible for telephonically and/or face to face assessing, planning, implementing and coordinating all case management activities with members to evaluate the medical needs of the member to facilitate the member’s overall wellness.Develops a proactive course of action to address issues presented to enhance the short and long-term outcomes as well as opportunities to enhance a member’s overall wellness through integration.Services strategies policies and programs are comprised of network management and clinical coverage policies.Coordinates and implements assigned care plan activities and monitors care plan progressConducts multidisciplinary review in order to achieve optimal outcomes - Identifies and escalates quality of care issues through established channelsUtilizes negotiation skills to secure appropriate options and services necessary to meet the member’s benefits and/or healthcare needsUtilizes influencing/ motivational interviewing skills to ensure maximum member engagement and promote lifestyle/behavior changes to achieve optimum level of healthProvides coaching, information and support to empower the member to make ongoing independent medical and/or healthy lifestyle choicesHelps member actively and knowledgeably participate with their provider in healthcare decision-making
Monitoring, Evaluation and Documentation of Care: Utilizes case management and quality management processes in compliance with regulatory and accreditation guidelines and company policies and proceduresDutiesThis position is work from home and will require home visits and possible visits to Nursing Facility.-Experience- License Registered Nurse- 3+ years clinical practice experience- 1+ year Case Management experiencePosition SummaryThe Case manager utilizes a collaborative process of assessment, planning, facilitation and advocacy for options and services to meet an individual’s benefit plan and/or health needs through communication and available resources to promote optimal, cost-effective outcomes.Requires an RN with unrestricted active licenseEducationRN with current unrestricted State licensure.Notes:Mon-Fri 8am to 5 pmremote with future possibility of onsiteLocal travel: 50-75% Territory includes Dallas, Ellis, Navarro, Kaufman, Rockwall, Hunt, Collin and/ or Tarrant county
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