Care Manager - Field

Job Description:

Select Health is a community health plan serving more than 1 million members. Select Health’s line of businesses include Medicare, Medicaid, FEHB, Marketplace Qualified Health Plans, and fully funded and self-funded Commercial Employer plans.
The Field Care Manager works with Select Health members, their family, caregivers, and a multi-disciplinary care team in a collaborative process of in community support, planning, facilitation, navigation, coordination, evaluation and advocacy for options and services to meet comprehensive medical, behavioral, and social needs of members and their families while promoting self-management, quality, and cost-effective outcomes.

Specialty/Clinic: Maule Clinic

Location: This position will cover Nye and Clark Counties.

Hours and Shifts: Monday - Friday / 8AM - 5PM

Essential Functions

• Identifies high risk members unable to adhere to a medical plan or members that require complex assistance and enrolls and follows these members in longitudinal care management services.
• Develops and implements a care plan designed to address the medical, physical, mental, emotional, spiritual, social and supportive needs of the member
• Follows the applicable established model of care or care management program policies and procedures to assess, establish and maintain a plan of care which incorporates the member's individualized needs and goals within the benefit plan throughout the care management process. Ensures the plan is evidence based and consistent with goals and objectives of referral, payer contract, or established care processes.
• Coordinates and facilitates communication among the member/family/representative, members of the healthcare team, and other relevant parties through interdisciplinary team meetings or other coordinated communication.
• Member support toward goal achievement, addressing any barriers.
• Face to face outreach for plan members by a member of their treatment team as required by the program model of care.

Skills

• Care Management
• Care Planning
• Clinical Nursing
• Independent and autonomous
• Motivational Interviewing
• Prioritization & time management
• Problem Solving
• Psychosocial evaluations
• Resourceful
• Verbal and Written Communication

Physical Requirements:

Qualifications

Minimum Qualifications

• Current license to practice as a Registered Nurse in the state of residence. If primary state of residence (PSOR) is part of the Nurse Licensure Compact, you must have a compact state license within 60 days of hire. If your work assignment is in a non-compact state, you must obtain a single state license per state(s) assigned within 60 days of hire. If PSOR is in a non-compact state, you will need a license in the state you reside, and within 60 days of hire you must obtain a Utah license, and other state licenses dependent on your work assignment.
• Five years of relevant clinical practice with 1-year experience in care management
• Intermediate computer software and hardware skills
• Current and in good standing driver's license with means for transportation to and from members residence.

Preferred Qualifications

• Certification in Case Management (CCM)
• Motivational Interviewing
• Knowledge of government programs: Dual Special Need Program, Medicare or Medicaid knowledge
• Health insurance product knowledge.
• 3+ years of relevant case management experience serving persons determined to have a Serious Mental Illness condition, individuals who are elderly and/or persons with physical or developmental disabilities

Physical Requirements

• Ongoing need for employees to see and read information, documents, monitors, identify equipment and supplies, and be able to assess customer needs.
• Frequent interactions with colleagues and providers require employees to verbally communicate and hear and understand spoken information, needs, and issues quickly and accurately.
• Manual dexterity of hands and fingers to manipulate complex and delicate equipment with precision and accuracy. This includes frequent computer use for typing, accessing needed information, etc.
• May be expected to sit or stand in a stationary position for a long time.
• For roles requiring driving: Expected to drive a vehicle which requires sitting, seeing and reading signs, traffic signals, and other vehicles.

Location:

Maule Clinic

Work City:

Las Vegas

Work State:

Nevada

Scheduled Weekly Hours:

40

The hourly range for this position is listed below. Actual hourly rate dependent upon experience.

$44.42 - $65.70

We care about your well-being – mind, body, and spirit – which is why we provide our caregivers a generous benefits package that covers a wide range of programs to foster a sustainable culture of wellness that encompasses living healthy, happy, secure, connected, and engaged.

Learn more about our comprehensive benefits package here.

Intermountain Health is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.

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All positions subject to close without notice.