Case Manager

Schedule

M-F 8am-5pm ,Contract: 6 months Pay Rate: $ 35.00/ W-2

Skills needed

• They are required to have a private office space free of any distractions due to HIPPAA Compliance.

• Must have experience working a remote position previously.

• Must have case management experience

• RN license for AL or Compact license

About Company

Since its Founded in 1996, CTC began as an IT organization and has evolved over nearly 30 years into a multidisciplinary solutions partner. CTC took our expertise to the next level by adding healthcare staffing and technology, forming CTC Medisource. CTC Medisource is a reliable partner that assists healthcare organizations in sourcing quality talent to improve the patient experience, scale the workforce, and increase operational performance. Headquartered in Detroit, Michigan, with a global team of more than 2,000 professionals, we bring deep expertise across Healthcare Staffing, AI & ML, Enterprise Applications, Digital Health, Managed Services, and Business Services.

Duties

• Through the use of clinical tools and information/data review, conducts comprehensive assessments of referred member's needs/eligibility and determines approach to case resolution and/or meeting needs by evaluating member's benefit plan and available internal and external programs/services

• Application and/or interpretation of applicable criteria and guidelines, standardized case management plans, policies, procedures, and regulatory standards while assessing benefits and/or member's needs to ensure appropriate administration of benefitsUtilizes case management and quality management processes in compliance with regulatory and accreditation guidelines and company policies and procedures

• Compiles all available clinical information and partners with the member to develop an individualized care plan that encompasses goals and interventions to meet the member’s identified needs.

• Provides evidence-based disease management education and support to help the member achieve health goals.

• Ensure the appropriate members of the interdisciplinary care team are involved in the member’s care.

• Provides care coordination to support a seamless health care experience for the member. Meticulous documentation of care management activity in the member’s electronic health record.

• Collaborate with other participants of the Interdisciplinary Care Team to address barriers to care and develop strategies for maintaining the member’s stable health condition.

• Identifies and connects members with health plan benefits and community resources.

• Meets regulatory requirements within specified timelines.

• The Care Manager RN supports other members of the Care Team through clinical decision making and guidance as needed.

• Additional responsibilities as assigned by leadership to support team objectives, enhance operational efficiency, and ensure the delivery of high-quality care to members. This may include participating in special projects, contributing to process improvement initiatives, or assisting with mentoring new team members.

Experience

• Access to a private, dedicated space to conduct work effectively to meet the requirements of the position. Confidence working at home / independent thinker, using tools to collaborate and connect with teams virtually.

• Minimum 3+ years of nursing experience

• Minimum 2+ years of case management, discharge planning and/or home healthcare coordination experience

• Bilingual skills, especially English-Spanish

Education

• Associate’s of Science in Nursing (ASN) degree and relevant experience in a health care-related field (REQUIRED)

• Bachelor’s of Science in Nursing

Pay: $35.00 per hour Expected hours: 40.0 per week

Benefits

• Dental insurance

• Vision insurance

Experience

• Case management: 3 years (Required)

• Nursing: 4 years (Required)

Language

• Bilingual Spanish and English (Required)

License/

Certification

• RN license for AL state or must have a compact license (Required)

Work Location: In person