Case/Disease Management RN
Work Schedule: M-F, 8:00 a.m. - 5:00 p.m.
Start Date: May 16, 2016
1 Year Contract (Possible Temp to Perm)
Engage Members telephonically or face to face at Florida Blue Retail Centers, hospitals, etc. with a focus on health coaching and patient education. Facilitate access to care and resources to meet the member?s health care needs. Provide education and tools to promote self-management.
? Plan, implement, coordinate and monitor Case Management activities that may include acute and non-acute services, outpatient services and or community resources for all lines of business
? Facilitate care for high risk members across the continuum of the health care experience, including care transitions, coordination of community and social service and coordinating with other value-based organizations, providers as needed.
? Collaborate with Member, Member?s Physicians, Plan Medical Directors, Managers, Local, Regional and Specialty team members as well as other functional areas to assist the member to meet their health care goals. Improve health outcomes and reduce the total cost of care.
? Promote healthy lifestyles, assist in strengthening the patient-physician relationship, encourage behavior and lifestyle changes to realize a better quality of life, for individuals with identified chronic conditions
? Active participation and collaboration with team members to support individual team and organizational goals
? Assist Members and their physicians to navigate through the health continuum, educate regarding benefits, identify candidates for Care Programs and provide information pertaining to the network and network access.
? Participate in weekly case review to learn and share opportunities to improve outcomes.
? Identify opportunities to improve outcomes and enhance program effectiveness.
We are an equal employment opportunity employer and will consider all qualified candidates without regard to disability or protected veteran status.
?Experience in the clinical setting
?At least 2 years clinical experience
?Home health experience
?Managed care experience
?Current RN license (must be able to receive a FL RN license within a month of hire)
?Experience with managing