Clinical - Care Manager; RN

Immediate need for a talented Clinical - Care Manager (RN). This is a 06+months contract opportunity with long-term potential and is located in FL(Remote). Please review the job description below and contact me ASAP if you are interested.

Job
-29537

Pay Range: $37 - $40/hour. Employee benefits include, but are not limited to, health insurance (medical, dental, vision), 401(k) plan, and paid sick leave (depending on work location).

Key Responsibilities:

• Review and prioritize new member referrals received daily through Tru Care.
• Conduct timely telephonic outreach to eligible members, explaining Care Management services and engaging them in the program.
• Complete comprehensive member assessments and identify barriers to care.
• Develop and maintain individualized care plans based on member needs.
• Coordinate healthcare services and connect members with appropriate resources.
• Provide disease-specific education and health coaching.
• Encourage completion of annual wellness exams, preventive screenings, and immunizations.
• Identify and address gaps in care and opportunities for improved health outcomes.
• Address medical needs, behavioral health concerns, and social determinants of health.
• Escalate urgent or complex concerns appropriately.
• Maintain accurate, timely, and thorough documentation in Care Management systems.
• Collaborate with providers, members, caregivers, and internal teams to coordinate care.
• Work independently while managing a high-volume caseload of 75 members, completing approximately 400 calls per month.

Key Requirements and Technology

Experience:

• ASN or BSN degree.
• At least 1 year of nursing experience.
• Active Registered Nurse (RN) license.
• Clinical Assessment & Critical Thinking skills to assess member needs and determine appropriate interventions.
• Strong verbal and written communication skills for effective member engagement.
• Time Management & Organization abilities to manage a caseload of 75 members and meet deadlines.

Our client is a leading Healthcare Industry, and we are currently interviewing to fill this and other similar contract positions.

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