Care Management Nurse Consultant, RN (Remote Option)

Office Location: Flexible for any of our office locations; Remote Option Available Projected Hiring Range: Depending on Experience Closing Date: Open Until Filled Primary Purpose of Position: This position is responsible for providing proactive intervention and care management consultation and support to promote high quality, whole person care for individuals with behavioral health (BH), intellectual/developmental disabilities (IDD), and/or traumatic brain injury (TBI) with or at risk for physical health complexities. The focus of this position is to ensure that individuals receive appropriate collaborative care assessment and services. This is a mobile position with work done in a variety of locations. Travel is an essential function of this position.

Provides physical health expertise and consultation Serves as the point of contact regarding collaborative care for care management teams Uses available data and medical information to provide proactive consultation and advice to the dedicated care managers regarding action steps needed to promote and/or improve member health Provides direct care management support as needed (informing, educating, linking, phone communication with member or collaterals, participation in care team meetings) Participates in clinical huddles/rounds with care managers, clinical and medical leadership Take lead on scheduling, presenting and providing updates in clinical huddles when indicated Facilitates medication reconciliation Assists department leadership in staff training and development, supporting care managers in development of necessary skills and resources to improve member health status Provides guidance to care management staff on using Healthwise topics for health education and promotion with members Measures results of intervention and treatment, including reduction in high risk events and inappropriate service utilization Assists in quality of care monitoring through review of care plans, medical records, critical incident reports and other sources of information and provide consultation on quality of medical care or recommend areas for quality improvement. Analyzes medical, psychiatric, behavioral health diagnosis and medication data reports to identify potential contraindications in treatment on a scheduled basis Participates actively in learning collaborative with other Care Management nurses Will serve as tailored care manager for an identified high cost/high risk population and complete all needed assessments and reviews for care management. Will participate and complete other duties as assigned.