Qureos Mentor

TruHealth

<div>Ready to Make a Difference in Healthcare?
At TruHealth, we&rsquo;re transforming care for seniors in long-term care with an innovative, proactive model that promotes dignity, independence, and quality of life. Join a team built on trust, teamwork, and a shared commitment to service.

We offer competitive pay, excellent benefits, growth opportunities, and a culture that values work&ndash;life balance and celebrates the people who care for our patients.

Part of American Health Partners, we include the fastest-growing provider-owned Medicare Advantage plans, plus divisions in psychiatric care and pharmacy services.

Join us and change lives &mdash; one patient, one day at a time.

 POSITION SUMMARY

TruHealth is seeking an advanced practice provider, either a nurse practitioner (NP) or physician assistant (PA) with experience in primary care or internal medicine, preferably with geriatrics focus. This position gives you the opportunity to improve outcomes for long-term care residents by collaborating with a team of providers and case managers. You&rsquo;ll enjoy a great benefit/pay package and possibilities for career growth.

If you are an advanced practice registered nurse (APRN or NP) or physician assistant (PA) who enjoys working with the aging population, consider joining the TruHealth team. Our providers work primarily within nursing homes or assisted living communities with residents who are enrolled in special Medicare Advantage plans. You will be responsible for providing plan members with personalized, coordinated health care that improves quality of life and prevents unnecessary hospital visits.

As one of our advance practice providers, you will exercise your independent judgement to treat patients with acute and chronic conditions, consulting with a supervising physician as appropriate. You will work closely with our facility partners and health plan leadership to Implement our national model of care in compliance with all federal and state regulations.

Our NPs and PAs are team players who contribute to TruHealth&rsquo;s success and help our partners enhance their residents&rsquo; quality of life. Duties include:
<ul>
<li>Assessing patients&rsquo; medical and mental health needs and providing a plan of care that proactively manages their conditions and addresses barriers to care</li>
<li>Ensuring compliance with local, state, and federal agencies related to clinical services you provide</li>
<li>Prescribing medications and ordering lab work, diagnostic procedures and consultations</li>
<li>Monitoring patients&rsquo; compliance and response to their treatment and modifying those plans</li>
<li>Working with RN case managers as part of an integrated care team</li>
</ul>
WORK EXPERIENCE, CREDENTIALS AND EDUCATION
<ul>
<li>FNP, AGNP, AHACNP or PA license required</li>
<li>Degree from an accredited APRN or PA program</li>
<li>3 years&rsquo; experience in clinical nursing or rehab in geriatric populations</li>
<li>Electronic Health Records experience</li>
<li>Working knowledge of Microsoft applications, including Word, Outlook and Excel</li>
</ul>
SUPERVISORY RESPONSIBILITIES
<ul>
<li>May be required to provide training and advice to facility staff</li>
</ul>
EQUAL OPPORTUNITY EMPLOYER

Our Organization does not discriminate based on race, color, religion, sex, disability, age, marital status, sexual orientation, national origin, veteran status, or any other characteristic(s) protected by federal, state, and local laws. The Organization will also make reasonable accommodations for qualified individuals with disabilities, upon request.</div>

Nurse Practitioner

<div>The RN Case Manager is primarily responsible for the daily management and support of the Case Management strategies for care coordination for a group of members who are associated with a Medicare Advantage plan. Visit (in person and/or telephonic) patients to ensure proper nursing care. Interview or correspond with physicians to correct errors or omissions and to investigate questionable claims. Consult and coordinate with health care team members to assess, plan, implement and evaluate patient care plans.
<div>
This position requires an individual who is a self-starter and team player, has the ability to manage multiple priorities, work with minimal supervision on assigned projects and activities, and demonstrates excellent communication and presentation skills. This individual must be able to adapt quickly to change and be able to collaborate with multiple teams

Here are a few of our benefits:
<ul>
<li>Annual performance wage increases</li>
<li>401k retirement plan with a company match</li>
<li>Medical, dental and vision insurance</li>
<li>$50,000 basic life insurance &ndash; paid by the company</li>
<li>Paid time off</li>
<li>UKG Wallet &ndash; access your pay faster!</li>
<li>Holiday pay</li>
<li>Telehealth through 98point6 &ndash; free to all employees</li>
<li>Continuing Education opportunities</li>
<li>Career Advancement Opportunities</li>
</ul>
Qualifications/Requirements:
<ul>
<li>Minimum of 2 years of experience in clinical nursing or rehabilitation for the geriatric population.</li>
<li>2-years managed care experience required.</li>
<li>Minimum of 3-5 years&rsquo; experience doing case management in a managed care environment preferably with a managed care organization or like facility, Preferred.</li>
</ul>
Essential Functions:
<ul>
<li>Complete Health Risk Assessments for members as assigned.</li>
<li>Initiate, update and/or revise care plans as needed.</li>
<li>Maintain a case load of patient as assigned.</li>
<li>Evaluates, coordinates, and plans patient care in collaboration with an interdisciplinary health team; reassesses and revises plans of care in collaboration with other members of the health care team.</li>
<li>Provides patient/family education based on identified learning needs utilizing available teaching resources</li>
<li>Provides education based on identified learning needs utilizing available teaching resources to members of the Home/Facility staff as needed.</li>
<li>Coordinates outpatient discharge planning based on patient needs, clinical circumstances and benefit coverage.</li>
<li>Participates in all Managed Care related audits; generates, maintains and tracks periodic and annual reports/documents via MS Office program, e-mails to support Care Coordination program.</li>
<li>Performs improvement projects involving development of monitoring/collection tools, review of medical records, data entry, analysis, and preparation of audit findings and reports.</li>
<li>Participates in patient care conferences, committee meetings, staff development and educational programs to increase or maintain professional competency.</li>
<li>Correctly applies medical management criteria.</li>
<li>Researches clinical questions from employers, members and payers as required.</li>
<li>Educate members on health access options.</li>
<li>Responds, manages, and resolves day-to-day problems presented in care coordination and communicates effectively with the Facility/Home.</li>
<li>Other duties as assigned.</li>
</ul>
Education:
<ul>
<li>Graduate of an accredited RN program.</li>
<li>Bachelor&rsquo;s Degree preferred.</li>
</ul>
Licensure/Certifications:
<ul>
<li>Current license to practice as a register nurse in assigned state.</li>
<li>Current CCM license, Preferred</li>
<li>CPR for Healthcare Professionals certification.</li>
<li>Current valid driver&rsquo;s license.</li>
<li>Current motor vehicle insurance.</li></ul></div></div>

RN Case Manager

Join TruHealth and explore 2   exciting career opportunities. They're hiring for various roles with options for remote or on-site work. Apply today and become part of their innovative team.

TruHealth

About Company

Nurse Practitioner

RN Case Manager