RN COMPLEX CASE MANAGER HYBRID-OHIO COUNTIES, ATHENS/MEIGS/GAILIA/VINTON/JACKSON
Company: Acentra Health
Location: Logan
Posted on: September 29, 2024
Job Description:
CNSI and Kepro are now Acentra Health! Acentra Health exists to
empower better health outcomes through technology, services, and
clinical expertise. Our mission is to innovate health solutions
that deliver maximum value and impact. Lead the Way is our rallying
cry at Acentra Health. Think of it as an open invitation to embrace
the company's mission, actively engage in problem-solving, and take
ownership of your work daily. Acentra Health offers unparalleled
opportunities. In fact, you have all you need to take charge of
your career and accelerate better outcomes, making this a great
time to join our team of passionate individuals dedicated to being
a vital partner for health solutions in the public sector. Acentra
seeks an RN Complex Case Manager in Logan, Ohio (covering Athens,
Meigs, Gailia, Vinton, Jackson and Hocking Counties) to join our
growing team. Job Summary: The RN Complex Case Manager will:
- Provide in-home, in-person care coordination in defined areas
of coal mine states and telephonic care coordination across the
United States. An integrated case management model (including care
coordination/case management and disease management) assists the
Funds team in maintaining beneficiaries at their most optimal
functional level.
- Foster an environment that incorporates the Funds' "caring"
philosophy in all aspects of the case management process and
coordinates care with the beneficiary and his/her provider to
stabilize health status with the goal of maximizing his/her
functional capacity and improving the overall quality of life.
- Responsible for assessing, planning, implementing, and
evaluating options and services to create an appropriate,
individualized plan for the beneficiary across the continuum of
care.
- Facilitate, coordinate, integrate, and manage integrated case
management and disease management activities based on the CMSA
definition, philosophy, and guiding principles for case management.
PLEASE NOTE: ** This is a full-time, direct hire, exempt, Hybrid
opportunity with Benefits. ** The selected candidate is required to
reside within a one-hour drive of one of the following Counties
within Ohio: Athens, Meigs, Gailia, Vinton, Jackson and Hocking. **
Phone and Travel for In-Home Visits/In-person Care Coordination
- The percentage of In-Home, In-Person Care Coordination visits
is up to approximately 25%.
- The percentage of Telephonic Care Delivery across multiple time
zones within the U.S. is up to approximately 75%.
- Travel will be to specific counties within Ohio: Athens, Meigs,
Gailia, Vinton, Jackson and Hocking with a drive time distance of
up to a one-hour radius maximum (with mileage reimbursement). **
Hours: 8:00 AM - 5:00 PM Eastern Monday-Friday. ** The primary
COVID-19 vaccination is required as you will work with
beneficiaries in person. Job Responsibilities:
- Use independent nursing judgment and discretion to address,
resolve, and process problems impeding the diagnostic or treatment
progress, including medication set-up, blood pressure checks,
pulse, temperature, and weight checks to support the home
program.
- Seek consultation from physicians, specialists, pharmacists,
and other disciplines as necessary to facilitate care to optimize
beneficiary function or prevent further decline in health.
- Develop beneficiary-centered care plans demonstrating shared
accountability between beneficiaries, caregivers, and
providers.
- Coordinate health and social services, coach the beneficiary
and families, advocate for the beneficiary, educate the beneficiary
and family, clarify, and assist with physician care plans, and
communicate status and plans among the care team and resources, as
indicated.
- Conduct visits in the beneficiary's home. Visits to hospitals,
nursing homes, and physicians' offices as necessary to continue the
plan of care and support transition.
- Review the care plan and progress in regular care conferences,
emphasize transitions to other programs, and teach
self-management/family caregiver management of chronic conditions
to optimize functions, improve health, prevent further decline, or
remain in the community.
- Ensure day-to-day processes are conducted in accordance with
the Utilization Review Accreditation Commission (URAC) and other
regulatory standards. The above list of accountabilities is not
intended to be all-inclusive. It may be expanded to include other
education- and experience-related duties that management may deem
necessary from time to time. Requirements Required
Qualifications/Experience:
- Unrestricted, active RN license in Ohio (or compact state
license).
- High School diploma or GED equivalent.
- 3+ years of clinical experience with 1+ years of case
management experience.
- Must be proficient in Microsoft Office, Internet/Web
Navigation, and research.
- Must be proficient in the use of electronic medical record
systems/electronic documentation and navigating multiple computer
systems and applications.
- Maintain competency in basic physiological assessments that do
not require a physician order, temperature, pulse, blood pressure,
weight, and visual skin assessment. Preferred
Qualifications/Experience:
- Bachelor of Science in Nursing (BSN).
- Public Health Nursing experience and geriatric nursing
care.
- Certified Case Manager (CCM).
- Ability to multi-task and prioritize with variable and
sometimes conflicting deadlines; superior attention to detail and
demonstrated ability in decision-making.
- Demonstrated initiative and judgment in performing job
responsibilities while maintaining professionalism, flexibility,
and dependability under pressure.
- Strong communication (written/verbal), interpersonal,
organizational, time management, and communication skills with a
strong focus on customer service, including building and
maintaining relationships with internal/ external customers and
facilitating meetings.
- Ability to work independently and as part of a team.
- Ability to research/identify and apply appropriate standards of
care.
- Interest in continuous learning and a commitment to staying
informed on regulatory changes. Why us? We are a team of
experienced and caring leaders, clinicians, pioneering
technologists, and industry professionals who come together to
redefine expectations for the healthcare industry. State and
federal healthcare agencies, providers, and employers turn to us as
their vital partner to ensure better healthcare and improve health
outcomes. We do this through our people. You will have meaningful
work that genuinely improves people's lives nationwide. Our company
cares about our employees, giving you the tools and encouragement,
you need to achieve the finest work of your career. Thank You! We
know your time is valuable, and we thank you for applying for this
position. Due to the high volume of applicants, only those who are
chosen to advance in our interview process will be contacted. We
sincerely appreciate your interest in Acentra Health and invite you
to apply to future openings that may interest you. Best of luck in
your search! - The Acentra Health Talent Acquisition Team Visit us
at Acentra.com/careers/ EOE AA M/F/Vet/Disability Acentra Health is
an Equal Opportunity Employer. All qualified applicants will
receive consideration for employment without regard to race, color,
religion, sex, sexual orientation, gender identity, national
origin, disability, status as a protected veteran, or any other
status protected by applicable Federal, State, or Local law.
#LI-SD1 Benefits Benefits are a key component of your rewards
package. Our benefits are designed to provide additional
protection, security, and support for your career and life away
from work. Our benefits include comprehensive health plans, paid
time off, retirement savings, corporate wellness, educational
assistance, corporate discounts, and more. - Compensation The pay
range for this position is $61,200-74,000 annually. "Based on our
compensation philosophy, an applicant's placement in the pay range
will depend on various considerations, such as years of applicable
experience and skill level."
Keywords: Acentra Health, Newark , RN COMPLEX CASE MANAGER HYBRID-OHIO COUNTIES, ATHENS/MEIGS/GAILIA/VINTON/JACKSON, Executive , Logan, Ohio
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