RN Case Manager

ChristianaCare

Wilmington, DE Posted 11/8/2024 Full Time

RN Care Coordinator (Longitudinal)

Day Shift (Hours: 8:30a– 4:00p) /1-2 Evenings are required weekly until 8 pm.

Wilmington, DE

Hybrid position supporting office and remote work.

ChristianaCare, CareVio Services is looking to hire a Registered Nurse (RN) Care Coordinator - Longitudinal.

CareVio Registered Nurse (RN) Care Coordinators connect with people by phone, video, in-person visits, secure texting, and e-mail to help them manage their health care. Our focus is on delivering healthcare through a combination of advanced technology and the human touch.

  • RN Care Coordinator Coordinates the utilization of healthcare resources, including transition planning, and facilitates the achievement of clinical, quality, financial, and member satisfaction goals.

  • RN Care Coordinator is responsible for ongoing contact with member and multidisciplinary care teams including CareVio case managers, Providers, Payers, Inpatient Case Managers, and alternate level of care settings staff.

Longitudinal – Practice/Provider Care Coordinator Role:

  • Strong knowledge base of co-morbid conditions and symptom management, including Diabetes and CardioPulmonary conditions

  • The position is hybrid supporting in office and remote work.

  • Onsite within practices as required per assignment.

  • Presentation and/or facilitation of Population Health Learning Collaborative meetings monthly at each assigned practice

  • Review and preparation of Provider Practice Weekly Huddles, if applicable

  • 1-2 Evenings are required weekly until 8:00 pm

  • On-Call requirements, including weekend and evening coverage

ChristianaCare Offers:

  • Medical, Dental, Vision, Life Insurance, etc.

  • Two retirement planning offerings, including 403(b) with company contributions.

  • Paid time off with annual rollover and opportunities to cash out.

  • 12-week paid parental leave.

  • Tuition assistance

  • Incredible Work/Life benefits including annual membership to care.com, access to backup care services for dependents through Care@Work, retirement planning services, financial mentor, fitness and wellness reimbursement, and great discounts through several vendors for hotels, rental cars, theme parks, shows, sporting events, movie tickets and much more.

Experience & Education Requirements:

  • DE RN License or RN Compact License required.

  • BSN required or commitment to obtaining BSN within three years of hire date.

  • 2-3 years’ experience in Utilization Management or Case Management required.

  • 1-2 years of acute care in a hospital setting is preferred.

  • Basic Life Support (BLS) certification is required.

  • Case Management Certification is preferred through the Commission for Case Management (CCM) within 18 months of eligibility.

  • Advanced Certification is recommended.

Knowledge, Skill, and Ability Requirements:

  • Strong interpersonal skills relative to member, caregiver, professional, and team interactions and strong organization skills

  • Demonstrated ability to manage a large population of beneficiaries/members.

  • Demonstrated critical thinking skills and the ability to prioritize workload.

  • Knowledge of disease/treatments and appreciation of social determinants of health influence

  • Knowledge of insurance, state, and federal regulations

  • Knowledge of resources and Nursing Theory and understanding and acceptance of Nursing Code of Ethics.

  • Knowledge and demonstration of Christiana Care's core values; caring excellence, integrity, leadership, service, teamwork.

  • Knowledge of community resources, State and Federal programs

  • Ability to exercise clinical judgment.

  • Ability to apply knowledge of case management and utilization management principles and practice.

JOB LOCATION:
Wilmington, DE 19894

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