RN Plan Case Manager Albany

Pruitt Health
Albany, GA
Category Healthcare
Job Description
Responsible for overseeing clinical care management of community-based long-term care population for PruittHealth Premier Dual Eligible Special Needs Plan. Conduct in-home and telephonic assessments, develop case management care plans, and coordinate care with community-based providers and social support programs. Works closely with patients, PruittHealth Premier, and medical providers to achieve optimal health status and cost-effective quality resources.

Requirements

  • Conduct in-home and telephonic assessments and document findings
  • Develop case management care plans and monitor patient needs
  • Coordinate care with community-based providers and social support programs
  • Assure access to choices, primary care provider, specialists, treatment plans, and coordination of transition between care settings
  • Educate patients and provide emotional support related to identified risk factors
  • Implement case management interventions and work with pharmacists and patients/caregivers to ensure medication therapy management and compliance
  • Function as an effective liaison between patient, PruittHealth Premier, caregivers, and other community health providers
  • Organize, secure, integrate, and modify resources necessary to accomplish case management plan goals
  • Timely creation of quality case management reports documenting results of CM plan interventions
  • Facilitate benefits preservation through coordination of appropriate level of care and plan compliance
  • Comply with PruittHealth Premier's confidentiality policy, HIPAA requirements, and state and federal regulations

Benefits

  • Paid Time Off
  • 401k Matching
  • Retirement Plan
  • Relocation Assistance
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