RN Case Manager coordinating healthcare services within a clinical setting. Serving dual eligible patients with comprehensive care and treatment planning for improved outcomes.
Responsibilities
Conduct client assessments and planning.
Modify patient treatment plans as indicated by patients' responses and conditions.
Prepare patient/family for discharge.
Communicate with third party payers to obtain necessary authorization for reimbursement of services.
Define care goals of patients by providing education, information, and direction to each individual and family.
Review cases with medical directors on challenging cases as needed.
Active and unrestricted Registered Nurse (RN) Licensure for the state of Massachusetts required.
2+ years of case management and/or discharge planning required.
Experience working with complex dually eligible populations required.
Knowledge of Managed Care preferred.
Understanding of diagnostic criteria for dual conditions and the ability to conceptualize modalities and placement criteria within the continuum of care preferred.
Utilization Review experience preferred.
Benefits
Health insurance
401(k) matching
Flexible working hours
Paid time off
Professional development opportunities
Job title
RN Case Manager – Dual Eligible Special Needs Plan (D-SNP)
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