Care Manager (RN)

BCforward is currently seeking a highly motivated Care Manager (RN) for an opportunity in Remote!

Position Title: Care Manager (RN)

Location: Remote

Anticipated Start Date: 11/11/2024

Please note this is the target date and is subject to change. BCforward will send official notice ahead of a confirmed start date.

Expected Duration: 12+ Months of contract with possible extension

Job Type: [FULL TIME (>%3D30 HRS WEEKLY)], [CONTRACT], [Indianapolis, IN 46268]

Pay Range: $45 - $50.00/hr

Please note that actual compensation may vary within this range due to factors such as location, experience, and job responsibilities, and does not encompass additional non-standard compensation (e.g., benefits, paid time off, per diem, etc.).

Requirements:

• Registered Nurse with an active Indiana and/or Compact Nursing License

Job Description:

Position Purpose:

Develops, assesses, and facilitates complex care management activities for primarily physical needs members to provide high quality, cost-effective healthcare outcomes including personalized care plans and education for members and their families.

Education/Experience:

Requires a Degree from an Accredited School of Nursing or a bachelor's degree in nursing and 2 - 4 years of related experience.

Required Skills/Experience:

ASN or BSN.

Registered Nurse with an active Indiana and/or Compact Nursing License.

OB (Prenatal, Postpartum, Labor/ Delivery, Mother Baby or NICU experience.

Comfortable making telephonic outreaches (Cold Calls).

Active Indiana Registered Nurse License.

Preferred Microsoft Program skills (Teams, outlook, word).

Responsibilities:

Provide Care Management duties to include telephonic outreach to high-risk OB members, assess members for complex medical needs, develop and update care plans, assess members current health, resource utilization, assess progress to goals, assist member with coordinating services and appointments, provide member education, assist with access to community-based services, participate in care management rounds.

Case load expectation %3D 50 with an expected minimum of 5 enrollments a month for caseload building

Quality Charting meeting NCQA standards with expectations of monthly audits at 94% or higher.

License/Certification:

RN - Registered Nurse - State Licensure and/or Compact State Licensure required.

Evaluates the needs of the member, barriers to accessing the appropriate care, social determinants of health needs, focusing on what the member identifies as priority and recommends and/or facilitates the plan for the best outcome.

Develops ongoing care plans / service plans and collaborates with providers to identify providers, specialists, and/or community resources to address member's unmet needs.

Identifies problems/barriers to care and provide appropriate care management interventions.

Coordinates as appropriate between the member and/or family/caregivers and the care provider team to ensure members are receiving adequate and appropriate person-centered care or services.

Provides ongoing follow up and monitoring of member status, change in condition, and progress towards care plan / service plan goals; collaborate with member, caregivers, and appropriate providers to revise or update care plan / service plan as necessary to meet the member's goals / unmet needs.

Provides resource support to members and care managers for local resources for various services (e.g., employment, housing, participant direction, independent living, justice, foster care) based on service assessment and plans, as appropriate.

Facilitate care management and collaborate with appropriate providers or specialists to ensure member has timely access to needed care or services.

May perform telephonic, digital, home and/or other site outreach to assess member needs and collaborate with resources.

Collects, documents, and maintains all member information and care management activities to ensure compliance with current state, federal, and third-party payer regulators.

Provides and/or facilitates education to members and their families/caregivers on disease processes, resolving care gaps, healthcare provider instructions, care options, referrals, and healthcare benefits.

Provides feedback to leadership on opportunities to improve and enhance care and quality delivery for members in a cost-effective manner.

Other duties or responsibilities as assigned by people leader to meet business needs.

Performs other duties as assigned.

Complies with all policies and standards.

Benefits:

BCforward offers all eligible employees a comprehensive benefits package including, but not limited to major medical, HSA, dental, vision, employer-provided group life, voluntary life insurance, short-term disability, long-term disability, and 401k.

Keywords:

[Registered Nurse with an active Indiana and/or Compact Nursing License]

About BCforward:

Founded in 1998 on the idea that industry leaders needed a professional service, and workforce management expert, to fuel the development and execution of core business and technology strategies, BCforward is a Black-owned firm providing unique solutions supporting value capture and digital product delivery needs for organizations around the world. Headquartered in Indianapolis, IN with an Offshore Development Center in Hyderabad, India, BCforward's 6,000 consultants support more than 225 clients globally.

BCforward champions the power of human potential to help companies transform, accelerate, and scale. Guided by our core values of People-Centric, Optimism, Excellence, Diversity, and Accountability, our professionals have helped our clients achieve their strategic goals for more than 25 years. Our strong culture and clear values have enabled BCforward to become a market leader and best in class place to work.

BCforward is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, or protected veteran status and will not be discriminated against based on disability.

To learn more about how BCforward collects and uses personal information as part of the recruiting process, view our Privacy Notice and CCPA Addendum. As part of the recruitment process, we may ask for you to disclose and provide us with various categories of personal information, including identifiers, professional information, commercial information, education information, and other related information. BCforward will only use this information to complete the recruitment process.

This posting is not an offer of employment. All applicants applying for positions in the United States must be legally authorized to work in the United States. The submission of intentionally false or fraudulent information in response to this posting may render the applicant ineligible for the position. Any subsequent offer of employment will be considered employment at-will regardless of the anticipated assignment duration.

Interested candidates please send resume in Word format Please reference job code 230244 when responding to this ad.