Clinical - Care Manager ; RN

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• External Position
  
  Purpose:
  
  Perform care management duties to assess, plan and coordinate all aspects of medical and supporting services across the continuum of care for select members to promote quality, cost effective care.
• Develop, assess and adjust, as necessary, the care plan and promote desired outcomes.
• Assess the member's current health status, resource utilization, past and present treatment plan and services, prognosis, short and long term goals, treatment and provider options.
• Coordinate services between Primary Care Physician (PCP), specialists, medical providers, and non-medical staff as necessary to meet the complete medical socio-economic needs of clients.
• Develop a plan of care based upon assessment with specific objectives, goals, and interventions designed to meet member's needs.
• Provide patient and provider education.
• Facilitate member access to community-based services.
• Monitor referrals made to community-based organizations, medical care, and other services to support the members’ overall care management plan.
• Actively participate in integrated team care management rounds.
• Identify related risk management quality concerns and report these scenarios to the appropriate resources.
• Enter and maintain assessments, authorizations, and pertinent clinical information into various medical management systems.

• Graduate from an Accredited School of Nursing. Bachelor’s degree in Nursing preferred.
• 2+ years of pediatric clinical nursing experience in a clinical, acute care, or community setting.
• Knowledge of healthcare and managed care preferred.
• Florida residency required.
• Prior experience working in a remote role preferred.
• Prior case management experience preferred.
• Bilingual in Spanish and English is preferred.

MWIDM Inc. is a WMBE Certified global staffing firm serving Fortune 2000 clients with customized and scalable workforce solutions. With our account management integrated into our delivery process, we provide you with staffing solutions that are transparent and robust irrespective of the industry you function.