Manager, Case Management RN

<em><strong>Our Talent. Our Vision.&nbsp;</strong>&nbsp;</em>At CareMore, a proud member of the Anthem, Inc. family of companies specializing in providing senior Americans a complete and pro-active health care experience, it&rsquo;s a powerful combination.&nbsp; It&rsquo;s the foundation upon which we&rsquo;re creating greater care for our members, greater value for our customers and greater health for our communities.<strong>&nbsp;Join us and together we will drive the future of health care.</strong>

Brooklyn, NY

CareMore Health - New York

<p>CareMore is entering a new growth phase, as a proven care delivery model for the highest-risk. &nbsp;We are a team of committed clinicians and business leaders passionate about transforming American healthcare delivery. &nbsp;We build and lead integrated, multi-disciplinary clinical teams to care for the most complex patients and currently serve <strong>nearly 200,000 </strong>patients in <strong>multiple </strong>states across Medicare, Medicaid, and commercial populations. &nbsp;We strive for excellence and have achieved significant and measurable improvement in total cost of care, clinical outcomes, and experience. &nbsp;</p> <p>&nbsp;Our comprehensive, <strong>upstream</strong> approach to <strong>health is led by robust multidisciplinary teams of</strong> extensivists, primary care clinicians, behavioral health clinicians, care management, social workers, case managers, community health workers, and mobile home-based care teams.</p> https://www.caremore.com/

keywords: management,quality assurance,training,license,degree,certification

Manager

Overview: Responsible for managing a team of nurse care managers engaged in assessing, developing, implementing, coordinating, monitoring, and evaluating care plans designed to optimize member health care across the care continuum and ensuring member access to services appropriate to their health needs.&nbsp;
Responsibilities: <div> <ul> <li>Responsible for process improvement, quality assurance, and adherence to appropriate medical policy, care management best practices, relevant clinical standards, and member contract.&nbsp;</li> <li>Hires, trains, coaches, counsels, and evaluates performance of direct reports.&nbsp;</li> </ul> </div>
Requirements: <ul> <li>Requires a BA/BS in a health related field; 5 years of clinical experience; or any combination of education and experience, which would provide an equivalent background.&nbsp;</li> <li>Current, unrestricted RN license in applicable state(s) required.&nbsp;</li> <li>Certification as a Case Manager is preferred.&nbsp;</li> </ul>