Top 73 Nurse case managers Jobs in Boardman, Oh

Health Plan Care Manager (RN or LSW)
CommuniCare Advantage —Boardman, OH
- Full-time
- Nursing
- RN License
- Mid-level
Quick Apply
Case Manager, RN or Social Worker PRN
Mercy Health Rehabilitation Hospital, Youngstown —Youngstown, OH
- Part-time
- Nursing
- RN License
- Hospital
- Tuition reimbursement
- 401(k) matching
Quick Apply
9d
Clinical Liaison
Select Specialty Hospital - Boardman —Youngstown, OH
- $70,000 - $89,000 a year
- Full-time
- RN License
- Mid-level
- Critical & Intensive Care
- Dental insurance
- Paid time off
Quick Apply
Client Care Manager
Home Instead - Austintown —Austintown, OH
- Full-time
- Nursing
- Mid-level
- Case management
- Dental insurance
- Vision insurance
Quick Apply
7d
Patient Transition Coordinator
Compassus —Girard, OH
- Full-time
- Customer service
- Writing skills
- English
- Tuition reimbursement
Quick Apply
RN Clinical Liaison
Gentiva —Boardman, OH
- $68,000 - $85,000 a year
- Full-time
- CPR Certification
- Nursing
- Management
Quick Apply
HCBS Case Manager II
DIRECTION HOME OF EASTERN OHIO —Youngstown, OH
- Full-time
- Pass drug screening
- Mid-level
- Ability to climb stairs
Hospice Registered Nurse Case Manager
Affinity Care of Ohio —Youngstown, OH
- Full-time
- CPR Certification
- Master of Social Work
- BLS Certification
Quick Apply
RN Case Manager
Homecare with Heart —Youngstown, OH
- Part-time
- CPR Certification
- RN License
- BLS Certification
- Mileage reimbursement
- Health insurance
RN Case Manager
Homecare with Heart —Warren, OH
- Part-time
- CPR Certification
- RN License
- BLS Certification
- Mileage reimbursement
- Health insurance
Hospice STNA
Affinity Care of Ohio —Youngstown, OH
- Full-time
- 18 years or older
- CPR Certification
- BLS Certification
Quick Apply
Clinical Liaison (RN or RT) - Per-Diem
Select Specialty Hospital - Boardman —Youngstown, OH
- $40 an hour
- Part-time
- RN License
- Sales
- Computer literacy
- 401(k)
- Employee assistance program
Quick Apply
Recovery Manager - Mahoning and Surrounding Counties
CareStar, Inc. —Youngstown, OH
- Full-time
- Nursing
- RN License
- Mid-level
- Paid holidays
- Health insurance
Quick Apply
RN Field Case Manager Home Health
Patriot At Home —Youngstown, OH
- Full-time
- CPR Certification
- Nursing
- RN License
- Travel reimbursement
- Mileage reimbursement
Quick Apply
3d
Hospice Registered Nurse On Call 7 On 7 Off
Affinity Care of Ohio —Youngstown, OH
- Full-time
- Nursing
- RN License
- No experience needed
Quick Apply
Hospice RN Case manager
Cherish Hospice —Youngstown, OH
- Full-time
- RN License
- Hospital
- BLS Certification
- Mileage reimbursement
- Dental insurance
Quick Apply
4d
HCBS Assessor II
DIRECTION HOME OF EASTERN OHIO —Youngstown, OH
- Full-time
- Pass drug screening
- Mid-level
- Ability to climb stairs
Hospice Registered Nurse, RN - Full Time
Gentiva —Youngstown, OH
- $64,305 - $80,400 a year
- Full-time
- CPR Certification
- Nursing
- Medication administration
Quick Apply
RN Case Manager
Expand Health at Home —Youngstown, OH
- $70,000 - $75,000 a year
- Full-time
- Nursing
- RN License
- Mid-level
Quick Apply
RN DAY SHIFT
Solero Youngstown —Youngstown, OH
- $38 - $42 an hour
- Day shift
- CPR Certification
- Nursing
- RN License
- Paid holidays
- Health insurance
Quick Apply

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Health Plan Care Manager (RN or LSW)

CommuniCare Advantage -
Boardman, OH

Quick Apply

Job Details

Full-time

Qualifications

Medicare
Chronic disease management
Professional ethics
Experience working with individuals with chronic illnesses
Working with geriatric patients
Medicaid health insurance
Driver's License
Medicare regulations
Utilization management
Computer skills
Medicaid
Healthcare software applications
Geriatrics
HEDIS

Full Job Description

Job Address:

7450 Keller Rd Cincinnati, OH 45243

CommuniCare Advantage is currently recruiting Health Plan Care Managers in Northeastern Ohio for our Medicare Advantage plan. Candidates must be licensed as a Registered Nurse or as a Social Worker in the state of employment.

PURPOSE/BELIEF STATEMENT:
The position of Care Manager is part of Healthcare Services and reports to the Director of Care Coordination who reports to the VP of Healthcare Services and Quality Operations. This position will have strong working relationships with the Chief Medical Officer and other key contributors across the enterprise. The Care Manager will be responsible for coordinating member-care, developing actionable care plans, communicating effectively, and ensuring high-quality healthcare services are delivered to members in an institutional setting within a special needs plan (ISNP).

JOB DUTIES & RESPONSIBILITIES

Care Coordination: Oversee and coordinate the care of assigned ISNP members, ensuring they receive timely and appropriate care as dictated by the SNP Model of Care. Average caseload of 75-100 ISNP members with the ability to cross cover other clinicians as deemed necessary.
Member Assessment: Perform initial, annual, transition of care (TOC) and change in condition health risk assessments (HRA) for ISNP care managed caseload. Assessments may include, but are not limited to additional assessments such as PHQ-9, MMSE, Medication Reconciliation, Advanced Directives, etc. The health risk assessment includes a systematic and pertinent collection of data about the health status of the member and requires the member/representative input. Accurate assessment determines cadence of visits/needs and frequency/intensity of care management oversight. Risk stratification is dictated by the specifics within the Model of Care and evaluated with each member interaction.
Care Planning: Formulate and implement a member centric holistic care plan that addresses identified needs by assessing the member/representative/family needs, issues, resources and care goals; determining and educating on the choices available to the individual member. Establish a care plan that is mutually agreed upon by the interdisciplinary care team and the member/representative/family. Care plans will be established and maintained utilizing the SMART framework (Specific, Measurable, Achievable, Relevant and Time-bound) and communicated to all members of the interdisciplinary care team.
Collaboration: Collaborate with the interdisciplinary team (ICT) which may include Medical Director, PCP, nurse practitioners/physician assistants, pharmacy, dietary, social workers, other clinical and non-clinical disciplines, facility staff, member representatives and family to establish, revise and continuously evaluate the member centric care plan and conduct documented interdisciplinary care team meetings to be able to work proactively rather than reactively. Care Manager will work closely with Utilization Management, Compliance and Quality to adhere to the Model of Care and ensure quality assurance, cost efficiency and member safety/satisfaction.
Member Education: Provide education to members and their families about managing chronic conditions and promotion of self-management strategies.
Documentation: Maintain accurate and timely documentation of member care activities and any interaction related to the member in compliance with healthcare regulations.

QUALIFICATIONS & EXPERIENCE REQUIREMENTS

Licensed master’s in social work or licensed Registered Nurse (RN) with a minimum of a bachelor’s degree
Clinicians must be clinically licensed in the State they are managing members or have compact licensure
Certified Case Management (CCM) certification or willing to obtain within 1 year of hire (company sponsored)
Active drivers license as this is NOT a remote role and must have reliable transportation to enable face to face visit to members in facilities
Minimum of 3-5 years in Case/Care Management preferred and/or 5+ years of direct patient care
Knowledge of value-based care, fee for service and Medicare Advantage/Dual (Medicare/Medicaid), NCQA, HEDIS and basic Utilization Management functions
Expertise in care coordination for geriatric and high-risk populations
Ability and experience utilizing a variety of applications and databases to fulfill care management requirements, and documentation. Documentation integrity is taken quite seriously and will be audited on a frequent basis.

KNOWLEDGE/SKILLS/ABILITIES

Critical thinking is key. Act before reacting
BE PRESENT both physically and for our members. Listen with compassion and learn to “walk in one’s shoes”
Must have integrity, be honest and have a strong ethical compass.
Nimble, establish boundaries and foster emotional intelligence
Strong planning and organizational and time management skills with the ability to work independently
Must be excited by the opportunity to work within an integrated delivery system
Strong communication skills and the ability to work effectively with people coming from diverse cultural and professional perspectives
Subject matter expert in care management
Excellent interpersonal, written, and organizational skills required

Quick Apply

Refine Your Search

nurse case managers jobs in boardman, oh

Health Plan Care Manager (RN or LSW)

Case Manager, RN or Social Worker PRN

Clinical Liaison

Client Care Manager

Patient Transition Coordinator

RN Clinical Liaison

HCBS Case Manager II

Hospice Registered Nurse Case Manager

RN Case Manager

RN Case Manager

Hospice STNA

Clinical Liaison (RN or RT) - Per-Diem

Recovery Manager - Mahoning and Surrounding Counties

RN Field Case Manager Home Health

Hospice Registered Nurse On Call 7 On 7 Off

Hospice RN Case manager

HCBS Assessor II

Hospice Registered Nurse, RN - Full Time

RN Case Manager

RN DAY SHIFT

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