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RN or LPN Care Manager - Home Health - Columbus - OH

RN or LPN Care Manager - Home Health - Columbus - OH

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Job Description

Full Time or Full Time PRN RN or LPN Care Manager (Hands Off Care Management)
Columbus and surrounding area.

Job Description
General Description of Position:
The Nurse Case Manager (NCM) reports directly to the Director of Professional Services. The NCM is responsible for the coordination and delivery of services to clients enrolled in nurse case management services. Case management services are provided to ensure the physical and mental healthcare needs of our clients are being met. This includes the tracking of healthcare-related appointments, Medication management, Disease process teaching, coordination of care and providing consultation to Support Programs.

Duties and Responsibilities:
  1. Complete a Health Summary, based on an assessment of each clients health, nutritional status, and psycho/social status and other health related needs. The Health Summary shall be a plan for the clients health care services.
  2.  Coordinate and assist in the delivery of a plan of health care as developed for the clients enrolled in the program.
  3. Monitor the clients medications both over the counter and prescribed
  4. Ensure all contract outcomes are attained for clients on assigned caseload, and partner with other Nurse Case Management staff to assist in the entire program meeting contract outcomes.
  5.  Participate in the weekly case conference.
  6. Provide training/consultation on or around medication usage, disease process and management, medical procedure clarification, the general needs of clients on assigned caseload, etc.
  7. Review medical findings, and be able to communicate them to non-medical individuals.
  8. Coordinate multiple community and state agency services to the medical benefit of the client.
  9. Evaluate progress in accessing appropriate behavioral and physical health medical care and other needed services.
  10. Work effectively as part of the Nurse Case Management team, each clients family support team, and with other health care partners.
  11. Effectively maintain a caseload of approximately 25-30 clients.
  12. Respect the clients and familys culture and provide culturally sensitive services.
  13. Maintain a flexible schedule to meet the client and families needs which may include working after traditional hours and on weekends.
  14. Maintain face-to-face contact with each client consistent with company policy and Nurse Case Management contract.
  15. Deliver a high level of customer service by communicating updates/changes regarding the client/family to care management team in a timely manner, returning phone calls & emails in a timely manner, and demonstrating high levels of teamwork and professionalism towards team members.
  16. Attend and actively participate in staff meetings, as directed by supervisory staff.
  17. Complete all paperwork within 24 hours of completing the client home visit and submit. Report any and all concerns to the Director of Professional Services as soon as possible.
  18. Represent Acuity Healthcare Solutions within the community in an effective and professional manner. Maintain Professional boundaries at all times.
  19. Be Knowledgeable of and follow all company policies and procedures.
  20. Other duties as assigned by supervisory staff.
  21. Comply with all reporting requirements as defined by Humana
  22. Conduct ongoing face to face outreach to Humana members participating in Humana Chronic Care Program
  23. Coordinate community care and services as deemed appropriate
  24. Act as a members advocate and liaison by completing or facilitating face to face or telephonic with providers as well as private, non-profit, and governmental agencies, and the Humana multidisciplinary team
  25. Understand clinical program design, implementation, and management, monitoring, and reporting
  26. Visit members residence within a 30 to 40 miles radius of your zip code weekly
  27. Comply with performance and reporting standards established to help us achieve our purpose

Role Essentials
  • 5 years of experience of in home case/care management experience OR 3 years of experience of in home case/care management with a Human Services or healthcare related degree/diploma
  • Experience working with the adult population
  • Knowledge of community health and social service agencies and additional community resources
  • Ability to travel to members residence within 30 to 40 miles
  • Exceptional communication and interpersonal skills with the ability to quickly build rapport
  • Ability to work with minimal supervision within the role and scope
  • Ability to use a variety of electronic information applications/software programs including electronic medical records
  • Intermediate to Advanced computer skills and experience with Microsoft Word, Outlook, and Excel
  • Excellent keyboard and web navigation skills
  • Ability to work a full-time (40 hours minimum) flexible work schedule
  • Possession of valid state drivers license and access to an automobile
  • Must have a separate room with a locked door that can be used as a home office to ensure continuous privacy while you work
  • Must have accessibility to high speed DSL or Cable modem for a home office (Satellite internet service is NOT allowed for this role); and recommended speed for optimal performance from Humana systems if 5Mx1M.
  • This role is considered patient facing and is part of Humanas Tuberculosis (TB) screening program. If selected for this role, you will be required to be screened for TB.
  • Valid drivers license, car insurance, and access to an automobile
  • MUST LIVE 10-15 MILES FROM Columbus, OH
Role Qualifications
  • Registered Nurse or LPN with a valid nursing license
  • 3-5 years of in home assessment and care coordination experience
  • Experience with health promotion, coaching and wellness
  • Previous managed care experience
  • Bilingual English, Spanish.
  • Certification in Case Management
  • Motivational Interviewing Certification and/or knowledge

If you or someone you know may have interest in this opportunity please click on APPLY Now to submit your resume and information.  Thank you.

Job Requirements

Education and Experience:
Registered Nurse, Licensed Practical Nurse, degree from an accredited School of Nursing program. Updated nursing license is required. It is preferred that candidates have experience working with the elderly population in a community care setting such as Community Case Management, Home Health Care or Discharge planning . It is required that the candidate have previous experience working with Electronic Health Records systems.
It is required that the candidate has a current CPR/BLS certification, Current drivers license, good driving record, vehicle insurance, and adequate transportation.
Must be 21

Job Snapshot

Employment Type Full-Time
Job Type Health Care
Education 2 Year Degree
Experience Not Specified
Manages Others Not Specified
Relocation No
Industry Healthcare - Health Services
Required Travel Not Specified
Job ID BMID777649
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RN or LPN Care Manager - Home Health - Columbus - OH

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