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Care Manager, RN-Remote role

Remote:

Full Remote

Work from:

United States

Zillion Technologies, Inc. SME https://www.zilliontechnologies.com/

501 - 1000 Employees

See more Zillion Technologies, Inc. offers

Job description

Company Description

Zillion Technologies Inc. - (ZTI) is a global business consulting and technology solutions provider. Zillion delivers innovative business solutions that give clients a competitive edge.

Zillion Technologies was ranked 5th by the Washington Business Journal on their 2012 “50 Fastest Growing Companies" in the Capitol Region. Recognized as one of "Americas Fastest Growing Companies" in the year 2010 and 2011 by Inc. Magazine. We also had the great honor to be listed in the "Top 100 Diversity Businesses in Virginia” by DiversityBusiness.com.

Job Description

Job Title: Care Manager

Position Location: DE, Working at Home – Delaware (Wilmington DE/ KENT COUNTY, DE)

3 month Contract to HIRE

Responsibilities and Duties:

This job owns and conducts oversight over a specified panel of members that range in health status/severity and clinical needs. The incumbent assesses health management needs of the assigned member panel and utilizes data/analytics, in conjunction with professional clinical judgement, to identify the right clinical intervention for each member. The incumbent is supported by a multi-disciplinary team and uses clinical judgment to refer members to appropriate multi-disciplinary resources. In addition to identifying the appropriate clinical interventions and referrals, the incumbent manages an active case load of members in their panel that are enrolled in case management. The incumbent conducts outreach to members enrolled in case management including but not limited to: developing a care plan, encouraging behavior changes, identifying and addressing barriers, helping members to coordinate care, and identifying various resources to assist members in achieving their personal health goals. The incumbent monitors, improves and maintains quality outcomes (clinical, financial and functional) for the specified panel of members.

Qualifications

Educational requirements: High School Diploma/GED
Professional experience, skills and qualifications:
- 7 years of any combination of clinical, case management and/or disease/condition management experience, provider operations and / or health insurance experience
- RN license in DE.
- CASE MANAGEMENT EXPEREINCE IS A TOP SKILL SET.
- This role does not provide any hands on care. It is a mix of on-site visits and electronic charting/documentation. Will be advocating for patient care and services to keep the patient in their home.
- HOME CARE and FIELD work experience is ideal. Any candidate who has experience with working in patient homes will be interviewed first.
- Written and verbal presentation skills, negotiation skills, and skills in positively influencing others with respect and compassion
- Broad knowledge of disease processes
- Understanding of healthcare costs and the broader healthcare service delivery system
- Proficiency in MS Excel and computer skills.
- Strong analytic skills with ability to interpret, evaluate and act on clinical and financial data, including analysis of statistical data
- Excellent interpersonal/ consensus building skills as well as the ability to work with a variety of internal and external colleagues from all levels of an organization
- Ability to work in a high performing team environment that requires flexibility.
- Demonstrated ability to handle multiple priorities in a fast paced environment. Excellent organizational, time management, problem solving, and project management skills
- Self-directed; self-starter, ability to work successfully with indirect supervision and moderate autonomy.
- Must CURRENTLY LIVE IN KENT COUNTY, DE. When the restrictions are lifted, they will be out in the field doing in home visits in Kent County.

Preferred Qualifications:

Educational requirements: Bachelor’s Degree in Nursing
Professional experience, skills and qualifications:
- Advanced training and experience in cognitive behavioral therapy (CBT), motivational interviewing or dialectical behavior therapy (DBT)
- Experience working with the healthcare needs of diverse populations
- Understanding of the importance of cultural competency in addressing targeted populations
- Experience working at either Quantum or Accolade
- Certification in Case Management.

Additional Information:
• Contract with OPTION to hire. Manager starts to look at candidates at the 3 month mark to see if they are a fit and start considering hiring. Will extend out 3 months at a time until hired full time.
• Must CURRENTLY LIVE NEW CASTLE County. When the restrictions are lifted, they will be out in the field doing in home visits in Kent and New Castle County.
• Beeline for timesheets.