RN Case Manager

Top National Healthcare company is hiring a RN Case Manager to work Remotely.

Ideally living in North Carolina or South Carolina.

Responsibilities:

Serve as a team member on a multidisciplinary team, coordinating care, resources and/or services for members to achieve

optimal clinical and resource outcomes.

- Utilize applicable clinical skillset and perform comprehensive assessments to determine how to best collaborate with

members, family, internal partners and external services/providers on plans for treatment, appropriate intervention and/or

discharge planning.

- Develop a member-centric plan tailored to members' needs, health status, educational status and level of support needs;

identify barriers to meeting goals or plan of care

- Utilize community resources and funding sources as needed in the development of the plan of care.

- Perform ongoing monitoring and management of member which may include scheduled follow-up with member, discussion

of plan with member, appropriate services/education to address needs, appropriate referrals with supporting documentation,

assessment of progress towards goals, modification of plan/goals as needed, with contact frequency appropriate to member

acuity.

- Evaluate and facilitate care provided to members through the continuum of care (physician office, hospital, rehabilitation

unit, skilled nursing facility, home care, etc).

- Educate members and encourage pro-active intervention to limit expense and encourage positive outcomes

- Effectively document all aspects of the plan from the initial assessment, development of the plan, implementation,

monitoring, and evaluating outcome.

- May outreach directly to members identified as high risk, high cost, or high utilization cases.

- May review alternative treatment plans for case management candidates and assess available benefits and the need for

benefits exception or flex benefit options, where eligible.

- May evaluate medical necessity and appropriateness of services as defined by department.

- As needed, develop relevant policies/procedures, education or training for use both internally and externally.

Requirements:

RN with 3 years of clinical and/or case management experience required

Experience in a variety of Case Management settings, types of patients.

Must have and maintain a valid and applicable clinical license (NC or compact multi-state licensure)

3-5 years of clinical RN experience

Contract role to start

Schedule M-F

Equal Opportunity Employer: Race, Color, Religion, Sex, Sexual Orientation, Gender Identity, National Origin, Age, Genetic Information, Disability, Protected Veteran Status, or any other legally protected group status.

At Randstad, we welcome people of all abilities and want to ensure that our hiring and interview process meets the needs of all applicants. If you require a reasonable accommodation to make your application or interview experience a great one, please contact [email protected].


Pay offered to a successful candidate will be based on several factors including the candidate's education, work experience, work location, specific job duties, certifications, etc. In addition, Randstad offers a comprehensive benefits package, including: medical, prescription, dental, vision, AD&D, and life insurance offerings, short-term disability, and a 401K plan (all benefits are based on eligibility).


This posting is open for thirty (30) days.

It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.