RN Case Manager
Company: Riderwood Village by Erickson Senior Living
Location: Silver Spring
Posted on: October 19, 2024
Job Description:
Location:Riderwood Village by Erickson Senior LivingJoin our
team as a RN Case Manager (also known as Care Coordinator, Erickson
Advantage at Erickson Senior Living) that will be supporting,
identifying, and evaluating health plan members at risk for, or
experiencing, adverse health events and chronic disease. The Care
Coordinator will provide appropriate and necessary interventions to
ensure that the member is receiving maximum benefit from health
services in a cost-effective setting. - -What we offer - -
- A culture of diversity, inclusion, equity and belonging, which
builds on our mission, vision and values
- Medical, dental and vision packages, including an annual
reimbursement for qualified wellness expenses, personal health
coaching and telemedicine options
- PTO Plans, PLUS company paid volunteer hours for eligible team
members, in accordance with applicable state law
- 401k for all team members 18 and over with a company 3%
match
- Onsite medical centers, providing wellness visits and sick care
for all team members over 18 years of age
- Free access to our on-site Team member Health and Well-Being
Centers, plus Well-Being programs, tools and resources for you and
your immediate family members
- Education assistance, certification reimbursement and access to
over 6,000 courses through our online learning library, designed to
enhance your current skills and build new ones
- Growth Opportunities - grow with the company as we open new
communities and expand on our existing ones!Compensation:
Commensurate with experience, range is $77-95k per year with annual
bonus potential opportunityHow you will make an impact
- Facilitates efficient care for targeted Erickson Advantage
health plan members in a variety of settings, focusing on returning
the member to the safest and highest level of independence
possible.
- The Care Coordinator utilizes a variety of interventions and
coordinates care for targeted health plan members with a variety of
providers in a variety of care settings.
- Works closely with members who have multiple or poorly managed
chronic disease/s as defined target diagnoses in the health plan
Policies and Procedures. -
- Assesses the high-risk member's current medical circumstances,
provides information about health care options, serves as guide and
advisor to the patient and their family, and establishes and molds
the relationship with the primary care physician and the
patient
- Through risk stratification, high-risk members will be
identified, and a case opened for members who meet the criteria for
care coordination services.
- Works with the primary care physician to establish protocols
for routine and preventive care which reflect accepted standards of
care
- Facilitates the development of customized care plans through
collaboration between the primary care physician, the health plan
member, and other health care team providers, including
specialists, vendors, and ancillary healthcare providers -
- As a member of the care delivery team works to facilitate
health plan member compliance and ensure continuity of care per the
team's "care plan".
- Reassesses the effectiveness, quality of services, and
treatments provided, per health plan Policies and Procedures
- Adjusts the plan of care to reflect problems, interventions,
goals, and outcomes.
- The Care Coordinator will measure case performance based on
program goals, objectives, quality indicators, and patient-specific
outcomes.
- Researches and selects care options as appropriate. The nurse
care coordinator may utilize a range of alternative, non-medical
services (i.e., diabetic education, cardiac rehabilitation, and
dietary instruction) and treatments. The care coordinator may also
make recommendations for alternative medical care for approval by
the primary care physician.
- Assists health plan members and their families in selecting
care options by providing information about providers, services and
treatments, risks, and potential results involved with
options.
- Maintains a comprehensive, computerized medical and social
history for assigned patients. Information will be used for such
activities as patient assessment, care planning, patient/care
evaluation, case tracking, and risk prediction, as well as cost
analyses. A software system will be utilized to enhance
communications among the health care team.What you will need -
- Active Professional Licensed RN required. -CCM certification or
working toward.
- Minimum 5 years clinical experience (medical/surgical,
community health nursing, home health care) and/or 3 years case
management and/or UR experience preferred.
- Knowledge of health care and insurance industries and health
care delivery systems, including current standards of medical
practice; insurance benefit structures and related legal/medical
issues; and utilization review and quality assurance
procedures.Please note that specific state regulations and
requirements may be applicable. These regulations take precedence
over the requirements outlined in the job description.Riderwood is
a beautiful 120-acre continuing care retirement community in Silver
Spring, Maryland. We're part of a growing national network of
communities managed by Erickson Senior Living, one of the country's
largest and most respected providers of senior living and health
care. Riderwood helps people live better lives by fulfilling our
promises of a vibrant lifestyle, financial stability, and focused
health and well-being services for those who live and work with us.
As part of our team, you'll enjoy flexibility and work-life balance
to meet your personal and professional goals, and we are committed
to providing you with opportunities to learn and grow.Erickson
Senior Living, its affiliates, and managed communities are Equal
Opportunity Employers and are committed to providing a workplace
free of unlawful discrimination and harassment on the basis of
race, color, religion, sex, age, national origin, marital status,
veteran status, mental or physical disability, sexual orientation,
gender identity or expression, genetic information or any other
category protected by federal, state or local law
Keywords: Riderwood Village by Erickson Senior Living, Chantilly , RN Case Manager, Executive , Silver Spring, Virginia
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