Job Details

ID #4009132
State Delaware
City Newark
Job type Full-time
Salary USD TBD TBD
Source ZILLION TECHNOLOGIES, INC
Showed 2020-06-01
Date 2020-05-27
Deadline 2020-07-26
Category Et cetera
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Care Manager, RN - Remote role

Delaware, Newark 00000 Newark USA

Vacancy expired!

Job Description

Job Title: Care Manager

Position Location:DE,

Working at Home – Delaware

Responsibilities and Duties:

This job owns and conducts oversight over a specified panel of members that range in health status/severity and clinical needs. The incumbent assesses health management needs of the assigned member panel and utilizes data/analytics, in conjunction with professional clinical judgement, to identify the right clinical intervention for each member. The incumbent is supported by a multi-disciplinary team and uses clinical judgment to refer members to appropriate multi-disciplinary resources. In addition to identifying the appropriate clinical interventions and referrals, the incumbent manages an active case load of members in their panel that are enrolled in case management. The incumbent conducts outreach to members enrolled in case management including but not limited to: developing a care plan, encouraging behavior changes, identifying and addressing barriers, helping members to coordinate care, and identifying various resources to assist members in achieving their personal health goals. The incumbent monitors, improves and maintains quality outcomes (clinical, financial and functional) for the specified panel of members.

Qualifications

  • Educational requirements: High School Diploma/GED
  • Professional experience, skills and qualifications:

    • 7 years of any combination of clinical, case management and/or disease/condition management experience, provider operations and / or health insurance experience
    • RN license in DE.
    • Written and verbal presentation skills, negotiation skills, and skills in positively influencing others with respect and compassion
    • Broad knowledge of disease processes
    • Understanding of healthcare costs and the broader healthcare service delivery system
    • Proficiency in MS Excel and computer skills.
    • Strong analytic skills with ability to interpret, evaluate and act on clinical and financial data, including analysis of statistical data
    • Excellent interpersonal/ consensus building skills as well as the ability to work with a variety of internal and external colleagues from all levels of an organization
    • Ability to work in a high performing team environment that requires flexibility
    • Demonstrated ability to handle multiple priorities in a fast paced environment. Excellent organizational, time management, problem solving, and project management skills
    • Self-directed; self-starter, ability to work successfully with indirect supervision and moderate autonomy
    • Must be based in the

      New Castle County area.

Additional Information

Regards,

Praveen Kumar,

Sr. Recruiter

ZILLION TECHNOLOGIES, INC

Email:

praveen(at)zilliontechnologies(dot)com

Direct:

571- 814-3745

Website: www.zilliontechnologies.com

Zillion Technologies, Inc is an Equal Opportunity and Affirmative Action Employer committed to the value of workforce diversity.

Vacancy expired!

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