Remote telephonic case management, Care manager (CM) follows model of care to assist member in managing health care needs.
Conducts initial assessments, medication review, develops care plan with members, identifies member needs and connects member with appropriate resources to meet health care needs.
Interacts with members care team, community services, vendors.
Follows up with member every 30 days at minimum to review conditions, progress toward goals, and ensure member is receiving requested information and/or services.
Provides education on member health plan and coverage and management of identified health conditions.
Describe the performance expectations/metrics for this individual and their team:
CM caseload expectation is 75 actively managed members, Audit score of 90%or greater, Case duration 90 days.
Tell Me About What Their First Day Looks Like
The first day is usually corporate HR training, setting up company issued equipment and access necessary to perform role specific duties.
What previous job titles or background work will be in this role?
RN, experience in case management preferred, clinical nursing background of 5 years or more.
Seniority level
Mid-Senior level
Employment type
Full-time
Job function
Health Care Provider
Industries
Staffing and Recruiting
Referrals increase your chances of interviewing at Pacer Staffing LLC by 2x