Identifying and initiating referrals for social service programs. Managing the care plan throughout the continuum of care. Skills and Requirements Include: Ability to travel to member’s home at least twice per year and as needed.
Skills and Requirements Include: Field-based position. 12 months experience in home and community based services within the past 5 years. Active license as RN, LSW, or LISW. Knowledge of Medicare, Medicaid, home health care and Ohio Home Care waiver programs desirable.
Core Responsibilities of this position include: Providing medical interpretation and decisions about the appropriateness of services provided. Ensuring healthcare professionals are in compliance with policies, procedures, and performance standards.
Provides support services to team members by answering telephone calls, taking messages, researching information and assisting in solving problems. Monitors non-targeted cases for entry of appropriate discharge date and disposition. Must meet the following requirements for consideration:
Demonstrate a proficiency in computer skills - windows, IM, excel (Microsoft suite), Outlook, clinical platforms. Experience in acute long term care, acute rehabilitation, or skilled nursing facilities. Must be living in a location that can receive high - speed internet service.
Experience working with the adult population. Knowledge of community health and social service agencies and additional community resources. Exceptional communication and interpersonal skills with the ability to quickly build rapport.
Providing timely medical review of service requests. Routinely interacting with physicians and leadership. Collaborating with the utilization management team. Must meet the following requirements for consideration: DO or MD - Physician, State Licensure and Board.
A provider of healthcare services is in need of a Telecommute Nursing Case Manager. Candidates will be responsible for the following: Making outbound calls to assess members' current health status. Providing patient education to assist with self-management.
Must be able to: Monitor the provision of services, including outcomes, assesses appropriate changes or additions to services. Assist with developing a member's self-management skills, health education and coaching, based on their health condition.
Recommending services for Plan members. Identifying potentially unnecessary services and care delivery settings, and recommend alternatives. Applicants must meet the following qualifications: Active RN license in the state(s) in which the nurse is required to practice.