Remote Bilingual RN Case Manager (Must live in Orlando, FL)

Job Title: Bilingual RN Case Manager Pay: $38 an hr | Bi-weekly Job Type: Remote (Must live in Orlando, FL) Candidate must reside in Orlando area and will service Orange, Osceola, Brevard, & Seminole Counties and be able to travel to facilities within the regions/neighboring counties. Hours required are M - F 8am - 5 pm EST with some flexibility for start/ stop times. Local travel up to 75%. Applies critical thinking, evidence-based clinical criteria to support contractual rebalancing goals. Shift Options: M-F 8-5

Complete at least 10 NF member assessments weekly Support the Health Plan Rebalancing Initiative goal of successful transitions: Assess, identify, screen and transition NH members into the community Follow up on CM referrals and visit current NH members in-person at least twice a week to complete the rebalancing events and screening assessments. Complete telephonic or in-person contact to assess the home prior to discharge and identify any environmental supports needed to support transition (i.e. ramp, DME installation etc.). Conduct an in-person Significant Change Visit with member and Rep if applicable, within 5 days of transition. Coordinate provision of services as needed, establish Plan of Care, and document all actions taken. Contact facility’s Business Office once a week to follow-up on mbr’s census and will coordinate with Social Services and CM to facilitate discharge. Work collaboratively with case managers to identify high risk community members and implement appropriate interventions to prevent lapse or coordinate safe transition (Upon receiving referral) Drive enhanced value of health care to increase member satisfaction and retention, and drive new membership growth. Be involved in at least two community relations event per year Engage in building strong relationships that contribute towards member satisfaction and retention