RN Community Case Manager - Nashville, TN
Location: Nashville Tennessee
Description: Cigna is at present recruited RN Community Case Manager - Nashville, TN right now, this position will be placed in Tennessee. For complete informations about this position opportunity please read the description below. Job Description
Responsible for providing support to patients, their families, and physicians in addressing medical and social concerns. Educates patients and families to make informed personal health care decisions. Facilitates communication between patient, physician, health plan, and community.
Under general supervision, responsible for identifying high risk patients for case management intervention and coordinating the delivery of cost-effective, quality-based health care services for health plan members by develop! ment and implementation of alternative treatment plans that ad! dress individual needs of the member, their benefit plan, and community resources. Directs intervention with moderate to high risk members, and provides support and oversight to other team members managing low risk members. Interfaces with providers of medical services and equipment to facilitate effective communication, referrals, development of discharge planning and alternative treatment plan development. Initiates contact with patient/family, physician, and health care providers/suppliers to discuss the alternative treatment plan and conducts on-site and in-home evaluations. Monitors, evaluates, extends, revises or closes treatment plans as appropriate. Evaluates cases for quality of care. Communicates case management decisions. Understands and follows policies and procedures and produces and submits reports in a timely manner. Handles high acuity and complex cases. Serves as a professional resource to other Case Managers. Initiates and leads the multi-disciplinary care! planning process .
Requirements
Minimum: Current licensure as a Registered Nurse (RN) in applicable state or active license in a state allowing “multistate privilege to practiceâ€. Five years experience in clinical and case management with 1 yr field and 1 yr management experience.
Preferred: Certified Case Manager .
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If you were eligible to this position, please email us your resume, with salary requirements and a resume to Cigna.
If you interested on this position just click on the Apply button, you will be redirected to the official website
This position starts available on: Sat, 30 Nov 2013 15:24:55 GMT
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