Remote RN Care Manager

The CSI Companies is a recruiting firm established in 1994 that has been awarded “Best of Staffing” for 8 years in a row. We provide outstanding services to the world’s leaders in the healthcare field as well as other organizations. For consideration, please submit your resume with all of your relevant experience included on it for immediate consideration. Only those candidates identified for an interview will be contacted.

Title of Job: Remote RN Care Manager Location: REMOTE (must hold a Oregon nursing license) CSI Companies is hiring a Remote RN Care Manager for our Fortune 100 healthcare client in Minnetonka, MN. This job can be worked from anywhere in the US as long as you have high speed internet and a distraction-free home office area. Job Summary We are seeking a Remote RN Care Manager to join our client’s team in a remote capacity. This role provides ongoing support and expertise through comprehensive assessment, planning, implementation, and overall evaluation of individual member needs. The goal of this position is to enhance the quality of member management and satisfaction, to promote continuity of care and cost effectiveness through the integration and functions of care management and discharge planning. It is the purpose of the RN Care Manager to ensure that the psychosocial and educational needs of the members are met. This position assists members and their families/significant others in making appropriate choices regarding the use of health care services. Pay: $37 – 44 an hour based on experience (overtime will be paid at 1.5 times the normal hourly pay rate). Hours: Full Time - Monday-Friday 8am-5pm MST

Develop a comprehensive care management plan that will address member’s individual needs which includes specific objectives, goals, and actions. Prioritizes member care needs upon initial interaction/assessment and addresses emerging issues. Assist members in the management of illness and treatment, monitoring adherence, and proactively investigating and addressing problems that may contribute to non-adherence with the member and other members of the multidisciplinary team. Assesses reports, data, and other health plan information to identify potential members in need of care management intervention. Decrease healthcare costs of members by working collaboratively care to assist members in managing visits to primary care, to decrease ER Utilization, number of inpatient hospitalizations, readmits to hospital, admissions to skilled nursing facilities and home health. Monitor the effectiveness of the care management plan and short/long term goals and adjust per member need. Assesses and prioritizes care referrals to assure program requirements for outreach and engagement are within expected time frames. Provides member and family education, support, and encouragement, especially to enhance adherence to treatment regimen and follow up care. Develops communication protocols with physicians in the network, clinic, and community so that early notification and intervention by the care management team occurs for members. Independently keeps current on areas of care management, quality management, utilization management, member education and preventive health guidelines. Provides recommendations in the development of policies and procedures that meet the requirements of NCQA, HEDIS, and State and Federal guidelines. Acts as liaison and member advocate with other care providers and programs. Participate in team meetings, multi-disciplinary meetings, care conferences and other collaboration via appropriate communication methods (teleconference, video conference, in-person conference). Integrates, coordinates and advocates for complex mental and physical health care services from a variety of health care providers and settings, within the framework of planned health outcomes. Develops an effective support system within the family and community to manage emergency situations and to provide support and safety for the member. Acts to prevent suicide and homicide in accordance with state licensure requirements. Supports collection of information and other statistical data relevant to care loads, productivity and health care trends within member population. Performs additional duties as assigned.