• Job Description

  Req#: 25-69902
  
  Our Client, a Retail Pharmacy company, is looking for a Nurse Case Manager II - Transition OD Care Registered Nurse for their Orlando, FL (Orange County, FL, Osceola County, FL, Brevard County, FL, & Seminole County, FL) location.
  
  Responsibilities:
  • Applies critical thinking, evidence-based clinical criteria to support contractual rebalancing goals.
  • Complete at least 10 NF member assessments weekly
  • Support the Health Plan Rebalancing Initiative goal of successful transitions: Assess, identify, screen and transition NH members into the community
  • Follow up on CM referrals and visit current NH members in-person at least twice a week to complete the rebalancing events and screening assessments.
  • Complete telephonic or in-person contact to assess the home prior to discharge and identify any environmental supports needed to support transition (i.e. ramp, DME installation etc.).
  • Conduct an in-person Significant Change Visit with member and Rep if applicable, within 5 days of transition. Coordinate provision of services as needed, establish Plan of Care, and document all actions taken.
  • Contact facility’s Business Office once a week to follow-up on mbr’s census and will coordinate with Social Services and CM to facilitate discharge.
  • Work collaboratively with case managers to identify high risk community members and implement appropriate interventions to prevent lapse or coordinate safe transition (Upon receiving referral)
  • Drive enhanced value of health care to increase member satisfaction and retention, and drive new membership growth.
  • Be involved in at least two community relations event per year
  • Engage in building strong relationships that contribute towards member satisfaction and retention
  
  Requirements:
  • Verifyable High School Diploma or GED Required: Yes
  • Experience Needed: Candidate must reside in FL and area of coverage.
  • Minimum 2 years of clinical experience- Bi-Lingual Spanish/ English required.
  • Managed Care experience-Discharge coordination experience
  • Transition of care experience-Home Health experience
  • Case Management experience
  • Position requires proficiency with computer skills which includes navigating multiple systems
  • Ability to work in a fast-paced environment
  • Requires an RN with unrestricted active license
  • Experience Level: Specify the level of experience required mid-level
  • Education/Licensure: Active, unrestricted and good standing RN license in the state of Florida.
  • Education: Associate Degree Required and BSN preferred.
  
  Why Should You Apply?
  • Health Benefits
  • Referral Program
  • Excellent growth and advancement opportunities
  
  As an equal opportunity employer, ICONMA provides an employment environment that supports and encourages the abilities of all persons without regard to race, color, religion, gender, sexual orientation, gender identity or express, ethnicity, national origin, age, disability status, political affiliation, genetics, marital status, protected veteran status, or any other characteristic protected by federal, state, or local laws.
  
  

• About the company

  ICONMA is a nationwide consulting firm with corporate headquarters in Troy, MI, providing Professional Staffing and Project Based Services and Solutions for Fortune 1000 clients in a broad range of industries. Core Industries served include: Biotech/Ph...

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