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Nurse Case Management Senior Analyst job in McAllen at Collabera

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Nurse Case Management Senior Analyst at Collabera

Nurse Case Management Senior Analyst

Collabera McAllen, TX Contractor
Apply Now

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Industry: Health Care

Job Title: Nurse Case Management Senior Analyst

Duration: 3+ months with (extension and permanent placement depending on attendance and performance)

Work Hours: Monday-Friday 8 am to 5 pm (CST)

Location: McAllen, TX 78501 [remote during COVID-19]

 

***** Looking for someone with Current licensure as a Registered Nurse (RN) *****

 

Duties:

Under general supervision of the Director of Clinical Programs and the Manager Complex Case Management, the RN Complex Nurse case manager is responsible for assessing members with multiple and complex medical conditions who need post discharge care transition and or short term complex case management, Conducts a person centered assessment and  identifies barriers to care, develops a  person centered My Health Coach Plan, conducts self-management education, ongoing monitoring of signs and symptoms and care coordination and refers to appropriate community services and health plan services and benefits to minimize barriers to care and the risk or unnecessary admission, readmission or emergency room utilization . 

 

The RN Complex case manager uses techniques such as motivational interviewing, teach back, behavior change, and cognitive behavior techniques to help assigned members establish a medical home, improve medication adherence, understand signs and symptoms and what to do, and self-care education about managing their chronic conditions to improve quality of life and care outcomes. 

The RN Complex Nurse case manager supports members working in conjunction with an existing team of Health professionals that includes a Service Coordinator, the members treating physicians, ancillary service providers and may include Clinical Pharmacists, Behavioral Health professionals and Disease Management staff.  Prepares for and presents members to Interdisciplinary Care Team (ICT) rounds for difficult to manage cases requiring team recommendations and prior to transitioning from Complex Case Management to Disease Management or Service Coordination.

Minimum Requirements: 

Current licensure as a Registered Nurse (RN) in applicable state or active license in a state allowing “multistate privilege to practice” Three or more years of clinical experience and two or more years of experience in case management and knowledge of chronic conditions (Diabetes, CHF, CAD and hypertension, COPD and Asthma, Renal Disease and mental health conditions including depression, bipolar disease). 

Proficiency in MS Office Word, Excel and windows based systems. 

 Excellent written and verbal skills in communicating with Members, Caregivers and providers 

 

Preferred Requirements:

• Certification as Case Manager or will agree to become certified within one year of hire. 

• Previous STAR+PLUS Medicaid and or Medicare Managed Care experience.

• Prior experience and knowledge of making referrals to community resource organizations.

• Three or more years’ experience in clinical case management of members with multiple and complex chronic conditions

• Experience in telephonic counseling/coaching preferred.

• Good problem solving skills and the ability to triage based on severity

• Excellent interpersonal skills and the ability to work in a team environment. 

• Bilingual English-Spanish Highly Preferred.

• Must be able to sit and work on a computer and use telephone for the majority of the work day.

 

Travel:

• Unrestricted driver’s license and reliable mode of transportation. 

• Position may be office or WAH after successful orientation and training and meeting CHS work at home requirements

*************************************************************************************

If you are interested and would like to discuss this position, please call me back at

973-598-3979
or email me at elvin.gohil[ Link removed ] - Click here to apply to Nurse Case Management Senior Analyst

*************************************************************************************

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