Remote Complex RN Case Manager, Advantage Plus Network of CT

Opportunities with Advantage Plus Network of Connecticut, part of the Optum family of businesses. When you work at Advantage Plus Network of Connecticut, your contributions directly sustain the health and well-being of our community. Discover high levels of teamwork, robust medical resources and a deep commitment to exceptional care and service. Join a leading community-based medical group and discover the meaning behind Caring. Connecting. Growing together.

Position Details: Location: Telecommuter position, but must be able to independently travel to Farmington, CT for training/meetings Department: Case Management Schedule: Full time, 40 hours/weekly, Monday through Friday, 8:00AM - 4:30PM If you have a CT nursing license and based in CT, MA, NY, or RI., you will have the flexibility to work remotely* as you take on some tough challenges.

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. Reasonable accommodations may be made to enable qualified individuals with disabilities to perform the essential functions. Member Care Coordination Collaborates with physicians and multidisciplinary teams to develop and maintain up to date, coordinated care plans Acts as a liaison between members and the healthcare team to ensure effective communication and alignment of care plans Member Referral Support Assists physicians, members, and families in obtaining referrals to specialists Provides counseling and support tailored to the clinical needs of the member Care Plan Development Creates comprehensive member-centric care plans that include member-driven goals and interventions Partners with designated physicians to create and maintain individualized Member Care Plans Clinical Improvement Actively participates in developing and deploying Coordination of Care activities aimed at enhancing the clinical experience for both referred members and referring physicians Liaison Role Facilitates communication among care team members to address the needs of both the member and the physician Provider/Member Education Provides education to member on health management and maintenance for optimal health outcomes Educates members and care team participants about available community and health plan benefits and services Performs additional tasks as assigned to support the overall goals of the Medical Management department