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Case Manager/RN


  • RELEVANTE, Inc.
  • 04/17/17
  • Washington, DC
  • 20020
  • 85,000.00 / Yearly
  • Full-Time
Offering Sign-on Bonus!!!!
Description:
Must be an RN
Completes a comprehensive case management assessment and gathers pertinent information about the M/Cs needs by interviewing the M/C, appropriate family members, physicians, ancillary health professionals and others as necessary.
Is responsible for the development of the M/Cs interdisciplinary individualized plan of care including short term and long term goals in collaboration with the M/C. Monitors and evaluates the M/Cs progress towards meeting goals and initiates appropriate interventions as necessary.
Serves as an advocate for the member and acts as a liaison between the M/C and other community based agencies, facilities, providers, and practitioners in coordinating the M/Cs care.
Refers M/C as appropriate for other services such as Special Needs and Pharmacy.
Works closely with the assigned Case Management Technician, to manage the M/Cs care needs.
Assumes a leadership role in monitoring appropriate utilization of the M/Cs benefits and in coordinating with other payor sources.
Understands, supports, and practices within the scope of the State of Pennsylvania Nurse Practice Act and the Case Management Practice Standards established by the Case Management Society of America (CMSA).
Job Related Requirements: Qualifications/Knowledge/Skills/Abilities:
Required Bachelors,Associates,Diplomain Nursing

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