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Care New England
Providence, RI, United States
Job Description Job Description Job Summary: The Manager of Business Planning evaluates, analyzes and develops recommendations on strategy and business opportunities for Care New England Health System. The Manager collaborates with Health System leadership to define growth strategies and drive the strategic planning process for System leadership
Job Source: Care New EnglandComplete Staffing Solutions Inc.
Cranston, RI, United States
Nurse Care Manager for a Primary Care group in Rhode Island Pay : $70k-$80k Schedule : Monday – Friday 8am-4:30pm. No weekends, calls, nights, etc. Summary The Nurse Care Manager will have the opportunity to work on a multidisciplinary healthcare team in a primary care setting. The Nurse Care Manager is responsible for providing comprehensive s
Job Source: Complete Staffing Solutions Inc.Rhode Island Medical Society
Warwick, RI, United States
Description WE ARE HIRING…. CCAP Mission Statement - To empower all people and communities, challenged by poverty as well as social and cultural barriers, through advocacy, education, and access to high quality health and human services. Nurse Care Manager SCOPE OF ASSESSMENT AND PATIENT MANAGEMENT: The Nurse Care Manager will have the opportunity
Job Source: Rhode Island Medical SocietyComprehensive Community Action
Warwick
Job Description Job Description Description: WE ARE HIRING…. CCAP Mission Statement - To empower all people and communities, challenged by poverty as well as social and cultural barriers, through advocacy, education, and access to high quality health and human services. Nurse Care Manager SCOPE OF ASSESSMENT AND PATIENT MANAGEMENT: The Nurse Ca
Job Source: Comprehensive Community ActionNeighborhood Health Plan of Rhode Island
Smithfield, RI, United States
Job Details Position Type Full Time Education Level Bachelors Degree Travel Percentage Daily Job Shift Daytime Job Category Professional / Experienced Description The Integrated Care Manager (ICM) works collaboratively with the integrated care team to manage and coordinate care fo
Job Source: Neighborhood Health Plan of Rhode IslandThundermist Health Center
Warwick, RI, United States
Thundermist's Mission - To improve the health of our patients and communities by delivering exceptional health care, removing barriers to that care, and advancing healthy lifestyles. Please note, effective September 1,2021, all Thundermist employees are required to have an initial dose of vaccine to prevent Covid-19. Effective October 1, 2021, all
Job Source: Thundermist Health CenterComprehensive Community Action
Cranston
Job Description Job Description Description: CCAP Mission Statement - To empower all people and communities, challenged by poverty as well as social and cultural barriers, through advocacy, education, and access to high quality health and human services. SCOPE OF ASSESSMENT AND PATIENT MANAGEMENT: The Nurse Care Manager will have the opportunity
Job Source: Comprehensive Community ActionBrown Medicine
Riverside
Job Description Job Description Part Time-32 Hours JOB SUMMARY The Nurse Care Manager will work on an interdisciplinary healthcare team in a specialty care setting to conduct direct patient care and quality improvement activities. He/she will be part of a program charged with implementing strategies to meet specified quality measures. The Nurse
Job Source: Brown MedicineSmithfield, RI, United States
Job Details Job Location Smithfield, RI - Smithfield, RI Position Type Full Time Education Level Bachelors Degree Travel Percentage Daily Job Shift Daytime Job Category Professional / Experienced Description The Assessment and Care Planning Care Manager works within the Assessment and Care Planning team to conduct scheduled in-person or telephonic assessments and develop care plans for members whose needs represent high clinical, behavioral and social risk. In-person assessments can occur in member homes, provider offices, hospitals, facilities, adult day centers and other areas. The Care Manager will assist with care coordination for time sensitive service needs and will ensure appropriate referrals are made. Collaborates with internal Care Management and Behavioral Health teams to stratify and hand members off for ongoing case management. In addition, they will also conduct chart review assessments for eligible members. This individual should feel comfortable when working to overcome environmental, cultural and language barriers. This position works directly with members, staff, managers, and both internal/external customers, providers and vendors in the community.
Duties and Responsibilities
Responsibilities include, but are not limited to the following:
Practice case management within the scope of licensure.
Utilizes case management principles and sound clinical judgment in initiating care coordination for a specific member population
Performs case management functions for identified individuals in order to engage, assess and assist with care coordination including but not limited to:
Performing a comprehensive assessment which includes care planning activities including the development of interventions, short and long-term goals in collaboration with member, family, PCP, Behavioral Health Professionals and other involved health care professionals and community agencies, as appropriate
Communicate with providers to facilitate needed care
Implements care plan, facilitates referrals, coordinates services and resources for needs identified during initial assessment, in preparation for care manager handoff
Attends marketing events and completes assessments as needed
Off-site visits (such as but not limited to home, hospital or community health centers or other community agencies) as necessary or required
Reviews members with CM and BH Specialist staff in weekly stratification meetings.
Conducts chart review on assessments to ensure compliance with contractual requirements
Provides comprehensive documentation of all activities and contacts in NHPRI software systems
Facilitates initial referrals and coordinates needed services
Collaborates with team as necessary in identifying initial services and supports
Meets department and regulatory standards for accuracy, proficiency and documentation in order to communicate decisions and plan of care in an appropriate and timely manner
Serves as a clinical resource to respond to questions from various departments
Provides cross-coverage as needed
Participates in outreach, community and marketing activities as needed and as appropriate
Provides clinical support to members, providers and care givers via video conferencing technologies when clinically appropriate for providing care
Actively participates in activities and education to maintain and advance clinical competencies
Other duties as assigned
Corporate Compliance Responsibility - As an essential function, responsible for complying with Neighborhood's Corporate Compliance Program, Standards of Business Conduct, applicable contracts, laws, rules and regulations, policies and procedures as it applies to individual job duties, the department, and the Company. This position must exercise due diligence to prevent, detect and report unlawful and/or unethical conduct by fellow co-workers, professional affiliates and/or agents
Qualifications Qualifications
Required:
Registered Nurse with an active, current, unrestricted license in RI in good standing (Consideration will be given to individuals without current RI license. Must provide documentation confirming RI RN application within 24 hours of offer) OR
Masters degree with active, current, unrestricted LICSW or LCSW license in RI in good standing
Minimum of three (3) years care management, acute care or community health nursing experience
Demonstrated experience working with Medicare/Medicaid (MMP), Medicaid, Medicare or commercial products
PC based software programs - intermediate level of proficiency
Strong organizational and interpersonal skills
Customer service orientation
Ability to work independently and prioritize activities
Must have access to reliable transportation. If using personal vehicle, must have active drivers license and auto insurance
Preferred:
Managed Care experience
BSN or Certification as a CM
Clinical specialty experience
Bilingual
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Assessment and Care Planning Care Manager jobs in Smithfield, RI, United States
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