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Case Manager – Amazon Store

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Job Title: Registered Nurse Case Manager (Wednesday-Sunday Schedule)

Location: Charlottesville VA USA 22911-8708 Schedule: Wednesday through Sunday Job Type: Contract

Position Summary:

We are seeking a dedicated and experienced Registered Nurse Case Manager to join our team. In this role, you will be responsible for performing comprehensive assessments of high-risk members and coordinating individualized, cost-effective care plans. You will collaborate closely with primary care providers, social workers, and other health care professionals to ensure high-quality care delivery and optimal patient outcomes.

Primary Responsibilities:

  • Conduct comprehensive assessments of high-risk members to evaluate clinical, functional, and psycho social needs.

  • Collaborate with primary care providers and the care team to develop and implement individualized care plans.

  • Identify and implement specific interventions to actively engage members and improve compliance with treatment plans.

  • Facilitate access to non-medical supports (e.g., housing, transportation) as needed to support care plan adherence.

  • Monitor and reassess the appropriateness, efficiency, and effectiveness of the care plan over time.

  • Coordinate care transitions between health care settings to ensure continuity of care.

  • Liaise with physicians, social workers, discharge planners, and claims professionals to determine the most appropriate level of care.

  • Engage specialty care resources as needed to resolve complex clinical or social issues.

  • Maintain thorough and accurate documentation of all case management activities, including clinical, functional, and fiscal outcomes.

  • Identify and support opportunities for health promotion and disease prevention.

  • Act swiftly to prevent or mitigate adverse patient outcomes.

  • Serve as a patient advocate, ensuring privacy, dignity, and confidentiality at all times.

Qualifications:

  • Associate's Degree in Nursing or a related health care field (Bachelor's Degree preferred)

  • Current and unrestricted Registered Nurse (RN) license in the state of practice

  • Case Management Certification (e.g., CCM, ACM) preferred

  • Strong clinical judgment and the ability to analyze complex medical information

  • Excellent communication, organizational, and problem-solving skills

  • Experience using Homecare Homebase or similar electronic health record (EHR) systems preferred

  • Ability to work a Wednesday through Sunday schedule

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