Case Manager II

Company: The Judge Group
Location: El Paso
Posted on: February 15, 2020

Job Description:

Our client is currently seeking a Case Manager II.--This position will be a contract for 3-6+ months with huge possibility to be extended or even move to a permanent placement!--This position is located in the area of El Paso, TX!!This job will have the following responsibilities:--Provides case management services to members with chronic or complex conditions including: o Proactively identifies members that may qualify for potential case management services.--Conducts assessment of member needs by collecting in-depth information from companies' information system, the member, members family/caregiver, hospital staff, physicians and other providers.--Identifies, assesses and manages members per established criteria.--Develops and implements a case management plan in collaboration with the member, caregiver, physician and/or other appropriate healthcare professionals to address the member needs.--Performs ongoing monitoring of the plan of care to evaluate effectiveness.--Documents care plan progress in companies' information system.--Evaluates effectiveness of the care plan and modifies as appropriate to reach optimal outcomes.--Measures the effectiveness of interventions to determine case management outcomes.--Participates in Interdisciplinary Care Team (ICT) meetings.--Assists orientation and mentoring of new team members as appropriate.--Maintains professional relationships with provider community and internal and external customers.--Conducts self in a professional manner at all times.--Maintains cooperative and effective workplace relationships and adheres to company Code of Conduct.--Participates in appropriate case management conferences to continue to enhance skills/abilities and promote professional growth.--Knowledge/Skills/Abilities:--Demonstrated ability to communicate, problem solve, and work effectively with people.--Excellent organizational skill with the ability to manage multiple priorities.--Work independently and handle multiple projects simultaneously.--Strong analytical skills.--Knowledge of applicable state, and federal regulations.--Knowledge of ICD-9, CPT coding and HCPC.--SSI, Coordination of benefits, and Third Party Liability programs and integration.--Familiarity with NCQA standards, state/federal regulations and measurement techniques.--In depth knowledge of CCA and/or other Case Management tools.--Ability to take initiative and see tasks to completion.--Computer skills and experience with Microsoft Office Products.--Excellent verbal and written communication skills.--Required Education:--Bachelor's degree in Nursing or Masters degree in Social Work, or Health Education (a combination of experience and education will be considered in lieu of degree).--Required Experience:--2-4 years of clinical experience with case management experience.--Required Licensure/Certification:--Active, unrestricted State Registered Nursing licenseMust have valid drivers license with good driving record and be able to drive locally.Active TX RN License; RUG certification preferred, STAR+PLUS and/or home health experience preferred.--If you're interested, send your most updated resume to Eddy at [Click Here to Email Your Resum--] or feel free to reach out to him at--949 - 527 - 4550.

Keywords: The Judge Group, El Paso , Case Manager II, Executive , El Paso, Texas