Case Management Nurse (RN) - Managed Long Term Care
MLTC Case Manager Job Summary:
The Case Manager plays an integral part in the coordination of care assessing the member’s condition and providing them the necessary resources, options, and coordination for a healthy care outcome.
The primary responsibility of the Nurse Case Manager is to coordinate and monitor the care of Health Plan members and develop a nursing plan of care.
They will participate in interdisciplinary conferences to review clinical assessments, update care plans and determine follow-up frequency.
The Case Manager also acts as an advocate for members and their families linking them to other members of the care team to help them gain knowledge of their disease process and to identify community resources for continued growth toward a maximum level of independence.
MLTC Case Manager Background:
Valid, unrestricted state Registered Nurse (R.N.) license.
Certification in Case Management (CCM) is preferred.
Around 2 years acute care clinical nursing experience.
At least 2 years experience with care coordination, case management and/or discharge planning.
At least 1 year of Case Management experience is required in a Health Plan setting.
Prefer 2-3 years experience working with long term care patients/members, in the managed care environment.
Experience working with Federal and State assistance programs (Medicare/Medicaid/etc).
Strong computer literacy (MS Office) and typing skills are necessary.