Care Manager II RN--Pediatrics
Location: Baton Rouge, Louisiana
Description: LaCare is employing Care Manager II RN--Pediatrics right now, this occupation will be placed in Louisiana. Detailed specification about this occupation opportunity please give attention to these descriptions. Under the supervision of the Supervisor ICM, the Case Manager II RNâ€"Pediatrics assists members appropriate with appropriate care coordination and case management services to ! achieve their optimal levels of health. The Case Manager is responsible for engaging members and providers to assess, plan and establish individual member goals. The Case Manager will facilitate and coordinate care for members while assuring quality and use of cost-effective resources. The Case Manager will function as a single point of contact and be an advocate for members in the care coordination program.
The ideal candidate for this position will have significant experience in Pediatric Case Management.
Principal Accountabilities:
Assesses members to determine care coordination and case management needs for all referred members.
Completes comprehensive assessments of environmental, psycho-social and support needs.
Identifies problems/barriers for care coordination and appropriate care management interventions.
Creates a plan of care to assist members in reducing/resolving problems and or barriers so that members may achieve their! optimal level of health.
Identifies both short and long t! erm goals and associated time frames for completion.
Shares goals with members and their families as appropriate.
Identifies and implements the appropriate level of intervention based upon the member’s needs and clinical progress.
Schedules follow-up calls as necessary and makes appropriate referrals to management.
Implements actions to address member issues.
Documents progress towards meeting goals and resolving problems.
Coordinates care and services with members and family members as appropriate, PCP’s, specialists and facility/vendor providers.
Collaborates with department staff to assist members in receiving quality and cost effective services.
Facilitates access to entitlement programs and/or community resources.
Monitors and documents member’s on going progress.
Conducts hospital and home visits as necessary.
Participates in the discharge planning process for hospitalized members.
Assists members in the transition! al process from home to a skilled nursing facility for long-term placement.
Arranges for services/appointments.
Participates on project teams as requested.
Maintains confidentiality of all company, provider and member information.
Identifies and refers potential and actual quality issues to quality management staff.
Keeps up-to-date with case management initiatives.
Attends scheduled meetings.
Obtains necessary educational requirements to maintain professional licensure and certifications.
Complies with AMFC and HIPAA confidentiality requirements to protect member personal identifiable health information.
Performs other related duties and projects as assigned.
Adheres to AMFC policies and procedures.
Supports and carries out the Mercy Mission & Values.
Attends required training on an annual basis.
Position Qualifications/Requirements:
Education and Training:
Bachelors (or higher) degree in Nursin! g.
Licenses, Registrations or Certification:
Active! Louisiana RN license or current, unrestricted Social Worker license.
Valid driver’s license with car insurance
Must be eligible for certification in Case Management within one year of accepting position.
Experience:
Minimum of 3+ years of Case Management experience preferred.
Pediatric case management highly preferred.
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If you were eligible to this occupation, please send us your resume, with salary requirements and a resume to LaCare.
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This occupation will be started on: Sun, 09 Jun 2013 08:32:28 GMT
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