Ascension
Ascension associates are key to our commitment of transforming healthcare and providing care to all, especially those most in need. Join us and help us drive impact through reimagining how we can deliver a people-centered healthcare experience and creating the solutions to do it. Explore career opportunities across our ministry locations and within our corporate headquarters. Ascension is a leading non-profit, faith-based national health system made up of over 134,000 associates and 2,600 sites of care, including more than 140 hospitals and 40 senior living communities in 19 states. Our Mission, Vision and Values encompass everything we do at Ascension. Every associate is empowered to give back, volunteer and make a positive impact in their community. Ascension careers are more than jobs; they are opportunities to enhance your life and the lives of the people around you.
Department: Case Management Schedule:Full Time, Monday- Friday, Day Shift, with occasional evenings and weekends. Facility: Ascension Care Management Insurance
Licensure / Certification / Registration: Registered Nurse obtained prior to hire date or job transfer date required. Licensure required relevant to state in which work is performed. Case Manager credentialed from the American Case Management Association (ACMA) preferred. BLS Provider preferred. American Heart Association or American Red Cross accepted. Case Manager credentialed from the Commission for Case Manager Certification (CCMC) preferred. Licensure required relevant to state in which work is performed Education: Diploma from an accredited school/college of nursing OR Required professional licensure at time of hire. Additional Preferences: Spanish Speaking RN Case Manager, preferred. Bachelor of Science Degree in Nursing, preferred. 3-5 years nursing experience, preferred. 3-5 years of CCM experience, preferred. 3-5 years of Telephonic case management (TCM) experience, required. 3-5 years of Medicaid experience, preferred. 1 year of utilization management in managed care or health plan environment experience, required. Must have Texas RN License or unrestrictive RN license in a compact license state, required. #LI-Remote
Assess the physical, functional, social, psychological, environmental, learning and financial needs of health plan members Identify problems, goals and interventions designed to meet the memberās needs, including prioritized goals that consider the member/caregivers goals, preferences and desired level of involvement in the case management plan. Create a care plan including objectives, goals and actions designed to meet the memberās needs. Provide appropriate interventions which demonstrate knowledge of and sensitivity toward cultural diversity and religious, developmental, health literacy, and educational backgrounds of the population served. Assess the memberās formal and informal support systems, including caregiver resources and involvement as well as available benefits and/or community resources. Evaluate memberās progress toward goal achievement, including identification and evaluation of barriers to meeting or complying with case management plan of care, and systematically reassess for changes in goals and/or health status. Communicates with primary care physician and members of the comprehensive care team regarding status of the member Utilize motivational interviewing skills to build patient engagement in case management plan of care Provide education, information, direction and support related to care goals of members Provide referrals to appropriate community resources; facilitate access and communication when multiple services are involved; monitor activities to ensure that services are actually being delivered and meet the needs of the patient, coordinate services to avoid duplication. Maintain accurate member records and confidentiality. Engage in professional development activities to keep abreast of case management practices and patient engagement strategies.
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