JOB DESCRIPTION:
TITLE: Care Manager II
PAY: $43.00 to 45.00 (per Hour)
BENEFITS: Medical-Dental-Vision (eligible day 1)
HOURS: M-F | 40.00-HRs (weekly)
SHIFTS: 8-HR shift | 8-5pm CST
START-DATE: ASAP | Late December / Early January 2022
LOCATION TYPE: Fully Remote - (must reside in the State of Indiana)

IDEAL CANDIDATE:

• 2 years Experience - (Labor and Delivery RN, Prenatal RN/ High Risk OB Nurse)
• RN License - (State of Indiana)
• Medicaid insurance knowledge preferred

POSITION PURPOSE: Perform care management duties to assess, plan and coordinate all aspects of medical and supporting services across the continuum of care for select members to promote quality, cost effective care.

JOB RESPONSIBILITIES & DUTIES:

• Assess the member's current health status, resource utilization, past and present treatment plan and services, prognosis, short and long term goals, treatment and provider options
• Utilize assessment skills and discretionary judgment to develop plan of care based upon assessment with specific objectives, goals and interventions designed to meet member's needs and promote desired outcomes
• Coordinate services between Primary Care Physician (PCP), specialists, medical providers, and non-medical staff as necessary to meet the complete medical socio economic needs of clients
• Monitor referrals made to community based organizations, medical care and other services to support the members’ overall care management plan
• Identify related risk management quality concerns and report these scenarios to the appropriate resources.
• Enter and maintain assessments, authorizations, and pertinent clinical information into various medical management systems
• Other & more duties assigned

#INDAS

Job Types: Full-time, Contract

Pay: $43.00 - $45.00 per hour

Benefits:

• Dental insurance
• Flexible schedule
• Health insurance
• Vision insurance

Medical specialties:

• Geriatrics
• Home Health
• Pediatrics

Schedule:

• 8 hour shift
• Day shift
• Monday to Friday

COVID-19 considerations:
Vaccination not required!

Experience:

• Nursing: 2 years (Required)
• Labor & Delivery: 1 year (Required)
• Case Management: 1 year (Required)

License/Certification:

• RN-License (State of Indiana) (Required)

Work Location: Remote