Registered Nurse Case Manager (20-07105)

• This job works directly with providers in a variety of health care settings to appropriately identify members with chronic conditions and/or gaps in care that can be positively impacted in relation to quality and care costs. The incumbent could work in a physician's office, visit physician practices on a routine basis, work within a hospital setting and/or visit the member's home. This job directly helps members with the highest risk scores to coordinate care and navigate the healthcare system by recommending and/or implementing interventions related to the improvement of medical care and costs.
  
  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.

Requirements

• Educational requirements: Bachelor's Degree in Nursing
• -MUST obtain an RN state of DE license.
• -Local to New Castle DE
  - 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

• ICONMA’s Discrimination Disclaimer
  • As an equal opportunity employer, ICONMA prides itself on creating an employment environment that supports and encourages the abilities of all persons regardless of race, color, gender, age, sexual orientation, citizenship, or disability.