RN Case Manager - Carevio - Maternity Care - Relocate to Delaware

Company: Shaker for ChristianaCare Direct
Location: Virginia Beach
Posted on: September 4, 2024

Job Description:

RN Case Manager - CareVio - Maternity CareDay Shift (Hours: M-F 8-4:30p with 1-2 Evening Shift per week: 8-8 pm)Wilmington, DEChristianaCare CareVio is hiring an RN Case Manager for Longitudinal Care Coordination for Maternity. - The RN will coordinate the utilization of healthcare resources, including transition planning, and facilitate the achievement of clinical, quality, financial, and member satisfaction goals.Maternity Care Coordinator role:

• Strong knowledge base in high-risk pregnancy with co-morbid conditions, newborns, and significant social determinants of health issues
• The position is hybrid supporting in-office and remote work.
• 1-2 Evenings are required weekly until 8:00 pm Scope And Frequency of Contacts:Ongoing contact with members and multidisciplinary care team including CareVio case managers, Providers, Payers, Inpatient Case Managers, and alternate level of care settings staff. The Principal Duties and Responsibilities:
  • Perform ongoing telephonic case management activities of assessment, problem identification, planning, implementation, coordination, monitoring, and evaluation of case-managed members.
  • Collaborates with patients, caregivers, and members of the multi-disciplinary care team to develop a member-centered plan of care to meet identified member care goals and outcomes.
  • Develop, implement, evaluate, and revise case management care plans according to case management eligibility criteria, contractual guidelines, and members' physical and psychological needs throughout the continuum of care.
  • Identifies system issues that serve as barriers to care. Participates in the development and implementation of strategies to remove barriers and promote resolution through the coordination of a problem-solving process.
  • Promote member wellness and autonomy through advocacy, communication, education, and identification and referral to community resources or other case management programs such as disease management programs.
  • Identify appropriate providers and facilities through the continuum of services and ensure that available resources are being used in a timely and cost-effective manner.
  • Collaborate with transitional, embedded, and inpatient case managers in the discharge and transitional care process, obtaining and/or coordinating appropriate resources for members throughout the continuum of care.
  • Stratifies and/or validates member's level of risk during each transition process and interaction with the member.
  • Collaborates with health care providers in settings not limited to the PCP office, hospital, skilled nursing facility, or home care agencies to assist members in coordinating safety.Education & Special Requirements:
    • DE RN License or Compact Nursing License
    • BSN is required or a commitment to obtain within 3 years of the hire date. -
    • 2-5 years relevant experience in Utilization Management or Case Management.
    • The ability to obtain a non-compact state RN Licensure as needed.
    • Active Basic Life Support (BLS) certification
    • Case Management Certification is preferred through the Commission for Case Management (CCM) within 18 months of eligibility.
    • Advanced Certification is recommended.PHYSICAL DEMANDS: Ability to ambulate within an office setting (walking, stairs, etc.)Occasional sitting, standing, and lifting loads of 5-10 pounds.

Keywords: Shaker for ChristianaCare Direct, Virginia Beach , RN Case Manager - Carevio - Maternity Care - Relocate to Delaware, Healthcare , Virginia Beach, Virginia