Visit members in their homes to assess their current health status Identify gaps or barriers in treatment plans Provide patient education to assist with self-management Make referrals to outside sources Provide a complete continuum of quality care through close communication with members via in-person in home or on-phone interaction Support members with condition education, medication reviews and connections to resources such as Home Health Aides or Meals on Wheels
RN Case Manager – Mcdowell County, NC
RN Care Manager PCT, The Everett Clinic
Care Management activities include early identification of high-risk patients, concerted planning involving physicians and mid-level practitioners, monitoring of services provided by outside physicians, home health, DME, and other providers; monitoring emergency department use as well as identifying opportunities to decrease emergency department utilization and other elements of care utilization Provides effective care management across the care continuum, including coordination involving internal and external providers of care, families and other entities, as appropriate Works in collaboration with colleagues in multiple care …
RN Care Manager PCT, Seattle – The Polyclinic
Care Management activities include early identification of high-risk patients, concerted planning involving physicians and mid-level practitioners, monitoring of services provided by outside physicians, home health, DME, and other providers; monitoring emergency department use as well as identifying opportunities to decrease emergency department utilization and other elements of care utilization Provides effective care management across the care continuum, including coordination involving internal and external providers of care, families and other entities, as appropriate Works in collaboration with colleagues in multiple care …
RN Care Manager – Thibodaux, LA Market
Discharge Planning: Works with facility Case Manager or Social Worker to coordinate DC process and transition needs based on patient’s diagnoses and status Care Coordination and Patient Support: Collaboration with the entire clinic team to proactively manage high risk patients by ensuring appropriate: Telephonic Post Hospital Discharge Calls Medication Management to include medication reconciliation post discharge and medication adherence Chronic disease education Providing self-management support to patients in order to improve their health outcomes Clinic Team Communication: Monthly meetings (in-person …
RN Care Manager – Field Based in Cumberland, Hoke, Scotland County – NC – No weekends or on-call
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Assess, plan and implement care management interventions that are individualized for each member and directed toward the most appropriate, least restrictive level of care Identify and initiate referrals for both healthcare and community based services; including but not limited to financial, psychosocial, community and state supportive services Develop and implement care plan interventions throughout the continuum of care as a single point of contact Communicate with all stakeholders the required health-related information to ensure quality coordinated care and services are …
RN Care Coordinator – Nursing Facilities – Hood/Wise County, TX
Assess, plan, and implement care strategies that are individualized by member and directed toward the most appropriate, lease restrictive level of care Identify and initiate referrals for member transition to community request and provide assist with social service programs, including financial, psychosocial, community and state supportive services Manage the care plan throughout the continuum of care as a single point of contact Communicate with all stakeholders for the required health-related information to ensure quality coordinated care and services are provided …
RN Call Center Nurse – Remote
Consistently exhibits behavior and communication skills demonstrating Optum’s commitment to superior customer service, including quality, care, and concern with every internal and external customer Performs comprehensive telephonic patient assessment, evaluation, and advice while meeting production standards Follows established clinical protocols/guidelines and provides appropriate patient instructions Directs patient to appropriate levels of care based on assessment within Optum’s guidelines Documents authorizations for vendors and/or outside services as appropriate Instructs patients on procedural preparations Documents and maintains records of telephonic interactions Completes …
RN Anticoagulation, The Everett Clinic
Assesses and evaluates patient care needs. Suggests solutions to patient care problems & complaints Identifies & recommends solutions to departmental problems Assists in assessing departmental function and productivity & recommends changes as necessary Assesses patient/family learning needs and coordinates and carries out teaching plan
RN – Poughkeepsie
Provides care in the individual and group setting Works with primary care providers throughout the organization to provide education and monitoring services for all referred patients Works closely with the staff and providers to identify patients that require education and monitoring services Manages a caseload of patients independently Assesses patients for their learning needs, follows them appropriately and documents in the patient electronic medical record Keeps abreast of new developments in care Provides staff education for nurses or others at …