RN Care Manager - Omaha Market
$31,200,000–$41,600,000 year
On-siteOmaha, Nebraska, United States
Job Summary
Establish trusting relationships with patients, families, and caregivers while collaborating with clinical staff to achieve patient goals. Identify high-risk or complex patients and assess physical, functional, social, and financial needs to develop comprehensive, individualized care plans. Perform case management following nursing process standards, utilizing motivational interviewing to build engagement and evaluate progress toward goal achievement. Reduce network costs by driving referrals to preferred groups and communicate telephonically with hospital case managers, physical therapists, and social workers to facilitate safe discharge plans and manage transitions of care. Conduct discharge assessments, medication reconciliation, and post-discharge coordination. Requires an active RN license, two years of clinical experience, and one year of case management or discharge planning experience.
Required Qualifications
- Associate degree in Nursing
- A valid, active, unrestricted Registered Nurse (RN) license in State of employment
- A minimum of 2 years' clinical work experience
Desired Qualifications
- Bachelor's Degree in Nursing (BSN) or RN with bachelor's degree in a related clinical field
- A minimum of 1 year of utilization review, home health, discharge planning experience
- A minimum of 1 year of case management experience in acute case management or ambulatory case management
- Certified Case Manager certification
- Certification through the Commission for Case Manager Certification (CCMC) or the American Association of Managed Care Nurses (CMCN) or willingness to obtain certification within a specified time
- ICD-10, CPT codes, HCPCS knowledge
- Managed care experience including knowledge of HEDIS and CMS guidelines
- Fluency in Spanish or other languages spoken by people in the communities we serve (where necessary)
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