[166009] RN Case Manager jobs in United States
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A-Line Staffing Solutions · 1 day ago

[166009] RN Case Manager

A-Line Staffing Solutions is seeking an RN Case Manager in McAllen, TX. The role involves conducting assessments, developing personalized care plans, and coordinating care for members to ensure they receive appropriate services.

Human ResourcesInformation Technology

Responsibilities

Complete a combination of in-person and virtual needs assessments
Conducting comprehensive assessments of members health needs
Developing personalized care plans based on members needs and input
Evaluates the service needs of the most complex or high risk/high acuity members and recommends a plan for the best outcome
Develops and continuously assesses ongoing long-term care plans / service plans and collaborates with care management team to identify providers, specialists, and/or community resources needed to address member's needs
Coordinates and manages as appropriate between the member and/or family/caregivers and the care provider team to ensure members are receiving adequate and appropriate person-centered care or services
Monitors care plans / service plans and/or member status, change in condition, and progress towards care plan / service plan goals; collaborate with member, caregivers, and appropriate providers to revise or update care plan / service plan as necessary to meet the member's goals / needs

Qualification

Active TX RN LicenseMedicaid experienceMedicare experienceCase management experienceMember outreach experienceBasic understanding of measure specs

Required

Active TX RN License
4+ years of experience as an RN
Medicaid / Medicare experience
Experience with member outreach

Preferred

Case management or managed care experience highly preferred
Basic understanding of measure specs

Benefits

Benefits are available to full-time employees after 90 days of employment
A 401(k) with a company match is available for full-time employees with 1 year of service on our eligibility dates

Company

A-Line Staffing Solutions

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A-Line Staffing Solutions is a staffing and recruiting company specializing in pharmaceutical, medical, and IT staffing services.

Funding

Current Stage
Late Stage
Company data provided by crunchbase