RN Case Manager/ HEDIS

Full-time, Contract  position available in the Dayton city limits. 

As a full time RN/Registered Nurse Case Manager your day to day duties will consist of:

Responsibilities include:

·  Perform and coordinate the initial assessments and ongoing reassessments of the patient's status.

·  Document patient case information within a database system.

·  Perform chart review/audits monthly or as needed.

·  Participate in monthly case conferences by providing information pertinent to patient's needs/goals.

·  Partner with the Program Director in development and review of the patient's individualized coordination of care plan.

·  Ensure that the patient's medical needs are addressed; consult with the patients physicians as needed, coordinating plans of treatment, and advocating for the patient when necessary.

·  Promote understanding of the medical factors affecting the targeted population.

·  Identify and assist patient in accessing entitlements, resources, information, and referrals for psychosocial needs.

·  Participate in Quality Assurance and Utilization review activities, as directed.

·  Empower patients in decision making for care planning.

·  Maintain accurate and timely patient information, which readily accessible for review and meet all requirements; assist in data collection for reporting/funding sources.

·  Foster intra-facility and inter-facility working relationships to help accomplish goals. Act as a liaison between primary care providers, specialist, and/or patient.

·  Advocate on behalf of patient regarding accessibility of services.

·  Follow State/Country mandated guidelines for the nurse case management programs.

·  Participate in outreach activities to the entire target population, as directed.

·  Recommend program/service changes to meet gaps in service in the community.

·  Other duties as assigned

This position will pay within the range of $50,000 - $60,000

Our client values their employees by offering the following:

PPO insurance, medical, dental, vision, life, short and long term disability, 401K with matching, Free life insurance, flexible spending account, travel pay, Pre taxed 125 plan, employee assistant program, Free CPR ACLS and CEU classes, Direct deposit and instant pay, uniform discount program and an employer sponsored in house gym membership.

Paid relocation and travel expenses