About the role

  • Care Manager developing comprehensive, person-centered care plans at Pure Healthcare. Facilitating access to medical and social services for patients and their families in Ohio.

Responsibilities

  • The Pure Healthcare Care Manager will develop comprehensive person-centered care plans for every member.
  • Assisting individuals and their families with personal or environmental needs through care coordination, navigating care systems, planning for care transitions, or discharge to next level of care.
  • Ensuring and facilitating access to community resources, such as transportation, insurance/supplemental income sources, caregiving, food, etc.
  • Facilitating individual and family meetings for goal setting, advance care planning, coordination of community supports, and plan of care development based on the individual's needs, values, and preferences.
  • Collaborating with other PHC and Ohio’s Hospice divisions to improve communication of needs.
  • Coordinating a plan of care between settings (home, hospital/inpatient, outpatient services) to ensure continuity of care.
  • Documenting assessment, plan, and interactions with individual, family, community resources, hospital or facility staff, and physicians and establishing/building accounts in electronic medical records.
  • Participating in the development of processes to improve the clinical experience for referral sources, individuals/families, care management teams across the continuum of care.
  • Regularly attending IDT meetings or multidisciplinary team meetings based on needs or organizational needs.
  • Fostering collaborative working relationships within division, organization, hospitals, and community facilities and/or with engaged groups.
  • Attending division meetings 80%; accountability for 100% of information provided via minutes.
  • Completing annual education by the deadline to ensure staff has the information and tools to complete their job satisfactorily and meet regulatory compliance.
  • Adhering to all applicable federal and state regulations, including HIPAA, compliance, and employment regulations.
  • Maintaining strong knowledge of and adherence to NCQA standards for Complex Care Management.

Requirements

  • Active Registered Nurse license in the State of Ohio without any board actions.
  • Three to Five years clinical experience in Case Management, Care Coordination, Discharge Planning, Medicaid and/or Medicare managed care, LTC experience and/or community health.
  • Mental Health Experience is a plus.
  • CM certification preferred.
  • Notary designation or intention to complete within six months of hire.
  • CPR Certified preferred, required in orientation at hire.
  • Computer skills sufficient to properly document services and care.
  • Ability to drive during daytime, nighttime, or inclement weather.
  • This position requires travel to different work locations and within the counties we serve.
  • Valid Driver's License with Safe Driving Record with successful clearance of a driving record check.
  • Successful clearance of a criminal background check.
  • Must be able to pass a 10 panel drug screen.
  • State minimum automobile insurance coverage.

Benefits

  • Competitive Pay
  • Competitive Health, Dental, and Vision Insurance
  • Short- & Long-Term Disability
  • Life Insurance
  • Paid Time Off
  • 401k with 5% employer match
  • Tuition Reimbursement
  • Preparation for certification and pay incentive on Hospice certification achievement
  • Scrubs provided at initial onboarding
  • Mileage reimbursement
  • Organizational preceptor to assist with orientation and ongoing education
  • Educational programs geared toward career advancement
  • Career growth

Job title

RN Care Manager

Job type

Experience level

Mid levelSenior

Salary

Not specified

Degree requirement

Associate's Degree

Location requirements

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