Registered Nurse - SHP Care Management; Remote​/Hybrid member service area

Registered Nurse - SHP Care Management (Remote/Hybrid within member service area) page is loaded## Registered Nurse - SHP Care Management (Remote/Hybrid within member service area) locations:
Marshfield, WI:
Wisconsin Rapids, WI:
Stevens Point, WItime type:
Full time posted on:
Posted Todayjob requisition :
R-0049838## Come work at a place where innovation and teamwork come together to support the most exciting missions in the world!##

Job Title:

Registered Nurse - SHP Care Management (Remote/Hybrid within member service area)## Cost Center: SHP-Health Svcs DSNP## Scheduled Weekly

Hours:

40## Employee Type:

Regular##

Work Shift:

Mon-Fri; 8:00 am - 5:00 pm (United States of America)##

Job Description:

The Care Manager - RN is a Registered Nurse (RN) who functions as an integral member of the Case Management Team of Security Health Plan. The RN is responsible for the assessment, coordination, planning, and implementation of case management services. S/he is also responsible for carrying out the management of specific, individual medical episodes identified through utilization review, disease management, and quality assurance functions.

This individual ensures that case management program objectives are met by evaluating the effectiveness of alternative care services and that cost effective, quality care is maintained. Marshfield Clinic Health System is committed to enriching the lives of others through accessible, affordable compassionate healthcare. Successful applicants will listen, serve and put the needs of patients and customers first.

This position is from work from home. Home visits and travel will be needed as part of the DSNP program and Model of Care.
** JOB QUALIFICATIONS
**** EDUCATION
* *** Required

Education:

** Graduate of an accredited school of nursing  
** Preferred Education**:
Bachelor's degree in nursing preferred.
** EXPERIENCE*
* ** Minimum Experience

Required:

** Five years clinical experience in home health, nursing home, hospital, community outreach care, case management, utilization management, and/or discharge planning.

Experience with keyboard, computer, and general office equipment.  
** Preferred/Optional Experience**:
Experience in quality assurance/improvement. Knowledge of insurance, Badger Care/Medicaid, and Medicare requirements
** CERTIFICATIONS/LICENSES
** The following licensure(s), certification(s), registration(s), etc., are required for this position, which must be maintained in good standing:  Registered Nurse with valid, unrestricted Wisconsin nursing license  
** Minimum required:
** Must complete CPUR or CPUM certification and case manager certification within two years of hire. Current State of Wisconsin Registered Nurse License or Nurse Compact License. Basic Life Support (BLS) certification awarded by the American Heart Association (AHA) within three months of hire.  Valid driver’s license required with an acceptable record.  
** Preferred/Optional:
** Utilization Review and/or case management certification.

This is a 40 hour work from home position. Primary worksite is in the home. Face to face visits with SHP DSNP members and travel is included in this position (primary work area Marshfield/Wood County with Clark and Taylor counties being secondary). Per CMS regulations for DSNP members, a face to face visit will be completed annually with every enrolled DSNP member.

Mileage and travel are paid for per job role. Travel is not everyday and is within a territory assigned per the DSNP RN care manager role as able.
** Marshfield Clinic Health System is committed to enriching the lives of others through accessible, affordable and compassionate healthcare.  Successful applicants will listen, serve and put the needs of patients and customers first.**##
** Exclusion From Federal Programs:
Employee may not at any time have been or be excluded from participation in any federally funded program, including Medicare and Medicaid.  This is a condition of employment.  Employee must immediately notify his/her manager or the Health System’s Compliance Officer if he/she is threatened with exclusion or becomes excluded from any federally funded program.
**** Marshfield Clinic Health System is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to sex, gender identity, sexual orientation, race, color, religion, national origin, disability, protected veteran status, age, or any other characteristic protected by law.
** Positions listed as 30 hours per week or greater are offered the level 1 benefit package.

Positions listed as 20 – 29 hours per week are offered the level 2 benefit package.

Positions listed as less than 19 hours per week are non-benefited.

Benefits for temporary positions vary.  Details will be discussed in the interview process.
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