Join Today: Clinical Case Manager - Telecommute
Quick Overview:
- Location: Remote
- Start Date: Immediate openings available
- Company: Workwarp
- Compensation: a competitive salary
- Position: Clinical Case Manager - Telecommute
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Primary Responsibilities:  Role embedded within the primary care clinic, working directly with patients, clinical and non-clinical teams  Participates in the identification of a focused clinic patient panel, as defined by the manager of Medical Management  Supports longitudinal care of the patient with chronic care conditions:  Communicates with patients, responding to patient questions via patient portal and other modalities  Performs assessment of health conditions and implements care plan in collaboration with the member, caregiver(s), clinician(s), and/or other appropriate healthcare professionals to address need and goals  Pursues appropriate interventions to reduce risk of condition exacerbation, ER and hospitalization utilization  Performs medication reconciliation and collaborates with clinician partner as needed  Conducts Motivational Interviewing and Self-Management Goal setting  Provides patient education  Creates referrals to appropriate agencies and resources  Supports transition of care from Emergency Department or inpatient stay to outpatient setting:  Performs assessment of transitional needs  Performs medication reconciliation  Establishes and reviews contingency plan  Provides patient education  Assists with post discharge needs such as home health care, prescriptions, transportation, Durable Medical Equipment (DME), appointments  Coordinates with providers to establish or update individualized plan of care  Creates referrals to appropriate internal and external resources  Achieves Quality Measures outcomes via reduction in HEDIS Gaps in Care  Performs accurate and timely documentation in the electronic medical record  Performs triage and clinical tasks within their scope of practice  Participates in daily huddles and monthly clinic meetings, as required  Prepares accurate and timely reports, as required  Maintains continued competence in nursing practice and knowledge of current evidence-based practices  Performs ongoing updates of the care plan to evaluate effectiveness, and to document interventions and goal achievement  Maintains a working knowledge of community resources  Serves as facilitator and resource for other members of the Medical Group clinical team  Attends departmental meetings and provides constructive recommendations for process improvement  Performs other duties as assignedYou'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
Required Qualifications:  Associate degree in nursing  Valid NM RN License or valid multi-state compact license  Current BLS Certification  Must be 21 years or older and have a valid NM State Driver's license  3+ years of previous job-related experience in a healthcare environment  Knowledge of medical terminology  Skilled with MS Office software applications  Full COVID-19 vaccination is an essential job function of this role. Candidates located in states that mandate COVID-19 booster doses must also comply with those state requirements. UnitedHealth Group will adhere to all federal, state and local regulations as well as all client requirements and will obtain necessary proof of vaccination, and boosters when applicable, prior to employment to ensure compliance. Candidates must be able to perform all essential job functions with or without reasonable accommodation Apply Job!
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