Top 88 Complex care case manager Jobs in Providence, Ri

Care Manager (RN)
Astrana Health, Inc. —Johnston, RI
- $40 - $48 an hour
- Email
- Hybrid work
- Nursing
- RN License
- Bachelor of Science
- Health insurance
Quick Apply
Complex Care APRN
THRIVE BEHAVIORAL HEALTH INC —Warwick, RI
- Part-time
- Nursing
- Psychiatry
- 5 years
RN MDS Coordinator/Case Manager
Lake Forest Health & Rehabilitation —Smithfield, RI
- $45 - $48 an hour
- Full-time
- Anatomy knowledge
- RN License
- Mid-level
- Disability insurance
- Health insurance
Quick Apply
10d
Recreational Therapist (HBRS)
The Arc of the South Shore, Inc. —Rehoboth, MA
- $35 - $40 an hour
- Weekends as needed
- Background check
- CPR Certification
- Mid-level
- Health insurance
- Dental insurance
Quick Apply
4d
Nurse Practitioner – Nephrology
Panoramic Health —Fall River, MA
- $120,000 - $145,000 a year
- Full-time
- Nursing
- Doctoral degree
- Hospital
- Paid holidays
- Health insurance
Quick Apply
Case Manager – Housing Services (Danielson, CT)
United Services, Inc. - Connecticut —Danielson, CT
- $19.00 - $21.50 an hour
- Multiple hires
- Spanish
- Experience working with individuals with disabilities
- English
- 403(b) matching
- Mileage reimbursement
Quick Apply
8d
Case Management Special Programs - Per Diem Case Manager
Brown University Health —Providence, RI
- $38.62 - $77.22 an hour
- 8 hour shift
- Nursing
- RN License
- Hospital
Registered Nurse, Care Manager
Care New England Health System —Warwick, RI
- Full-time
- Nursing
- Surgery
- RN License
Revenue Integrity Specialist
Care New England Health System —Warwick, RI
- Full-time
- HIPAA
- Mid-level
- High school diploma or GED
RI Works Case Manager
East Bay Community Action Program —East Providence, RI
- $23 - $25 an hour
- Full-time
- Hybrid work
- Spanish
- Mid-level
- Office
- 403(b) matching
- Mileage reimbursement
Quick Apply
9d
Patient Navigator
Brown University Health —Providence, RI
- $77,230.40 - $154,460.80 a year
- 8 hour shift
- Nursing
- RN License
- Writing skills
Community Health Worker, Integra
Care New England Health System —Warwick, RI
- Full-time
- Spanish
- Primary Care
- Mid-level
Social Worker BSW
Brown University Health —East Providence, RI
- $24.29 - $40.07 an hour
- 8 hour shift
- Hospital
- Mid-level
- Bachelor's degree
Director of Special Education Services
YouthBuild Preparatory Academy —Providence, RI
- Full-time
- School experience
- Experience working with individuals with disabilities
- 5 years
Quick Apply
Licensed Clinical Therapist
Brown University Health —Providence, RI
- 8 hour shift
- Addiction Medicine
- Mid-level
- Master's degree
Healthcare Enterprise Architect
Care New England Health System —Warwick, RI
- Full-time
- 7 years
- System design
- AWS
Point of Entry RN/ER Case Manager - Per Diem
UMass Memorial Health —Milford, MA
- $52.50 - $57.50 an hour
- 12 hour shift
- Nursing
- RN License
- Bachelor of Science
Hybrid Registered Nurse Care Manager
CareSource —Fall River, MA
- $80,000 - $120,000 a year
- Weekends as needed
- Nursing
- Microsoft Excel
- Microsoft Outlook
- Mileage reimbursement
- Health savings account
Quick Apply
Registered Nurse
Brown University Health —Providence, RI
- $35.70 - $71.40 an hour
- 8 hour shift
- CPR Certification
- Nursing
- RN License
(USA) Asset Protection Operations Coach
Walmart —Raynham, MA
- $65,000 - $100,000 a year
- High school
- Bachelor of Science
- Merchandising
- Paid jury duty
- Disability insurance

I want to receive the latest job alert for complex care case manager in providence, ri

By signing in to your account, you agree to SimplyHired's Terms of Service and consent to our Cookie and Privacy Policy.

Explore jobs in more locations

complex care case manager jobs near providence, ri

Director Of Education jobs in Providence, RI

Clinical Therapist jobs in Providence, RI

Case Manager jobs in Providence, RI

Patient Advocate jobs in Providence, RI

Community Health Worker jobs in Warwick, RI

Social Worker jobs in East Providence, RI

Clinical Nurse Manager jobs in Boston, MA

Registered Nurse jobs in Providence, RI

Nurse Practitioner jobs in Fall River, MA

Registered Nurse Case Manager jobs in Canton, MA

Registered Environmental Health Specialist jobs in California

Registered Behavior Technician jobs in New York, NY

Registered Nurse Case Manager jobs in Morgantown, WV

Registered Nurse Case Manager jobs in Fishkill, NY

Registered Nurse Case Manager jobs in Inland Empire, CA

New Grad Registered Nurse jobs in Victorville, CA

Rn Case Manager jobs in San Francisco, CA

Revenue Cycle Specialist jobs in Dallas, TX

Revenue Cycle Specialist jobs in Minneapolis, MN

Child Life Specialist jobs in Riverside, CA

Care Manager (RN)

Astrana Health, Inc. -
Johnston, RI

Quick Apply

Job Details

Full-time
$40 - $48 an hour

Benefits

Health insurance

Qualifications

RN License
Regulatory compliance
Word embeddings
NCQA standards
Productivity software
Managing patient records
Associate's degree
Associate Degree in Nursing

Full Job Description

Description

The Care Manager effectively manages outpatients to support management of patients with complex and chronic care needs by assessing, developing, implementing, coordinating, monitoring, and evaluating care to prevent re-admissions. Ensures that Members’ medical, environmental and psychosocial needs are optimized through the continuum of care.

What You'll Do

Identifies appropriate patients for care management and performs outbound calls to assign high risk or chronic care managed patients
Conducts assessments to identify individual needs and a specific care management plan to address objectives and goals as identified during assessment
Develop Initial Care Plan (ICP) by conditions identified in HRA, patient assessment, medical records authorizations/referrals, primary care physician, member and Interdisciplinary Team
Sets patient prioritized self-management goals.
Create cares in the care management platform for each patient under care management with appropriate documentation including but not limited to; cognitive, functional, ADL, environmental factors, psychosocial, medical and benefits etc
Coordinates care plan and/or assessment findings with health plan care managers, as appropriate
Manages a panel/caseload of 75 - 100 chronic and high-risk patients in collaboration with Nurse Practitioner, Pharmacist, PCP, specialists and other ICT members. Meets assigned/expected patient contacts daily to assess and coordinate care. Interfaces with Medical Director and attends and participates in Interdisciplinary Rounds
Collaborates and coordinates care with health plans, Community Based Programs,
Palliative Care and Behavioral Health providers as appropriate. Collaborates with patient’s family and physicians for seamless coordination of care and services
Monitors and evaluates effectiveness of the care management plan and modifies as necessary to meet health plans and national standards (i.e., NCQA requirements) for turn-around-time for assessments, care plans and IDTs
Other duties as assigned

Qualifications

Bachelor of Science in Nursing (BSN) preferred; Associate degree in Nursing required
Rhode Island RN unrestricted active license
At least 2 years of clinical nursing experience (case management, acute care, medical group, health plan, or managed care preferred)
Certifications & Licensure Active, unrestricted Registered Nurse (RN) license
Strong clinical background must be familiar with developing care plans and assessments
Experience with Microsoft Office Word
Understanding of regulatory standards (CMS, NCQA, etc.). Ability to assess and manage complex clinical and psychosocial situations
Excellent communication, collaboration, and critical-thinking skills
Proficiency in electronic health records (EHR) and care management documentation systems
Ability to manage multiple priorities in a fast-paced environment

You'll be a great for the role if:

Able to work independently and make independent decisions
Ability to work prioritize and multi-task
Excellent written and verbal communication skills
Maintain courteous professional attitude when working with internal and external customers
Maintains member confidence and protects operations by keeping claim information confidential in compliance with HIPAA requirements

Environmental Job Requirements and Working Conditions

This role follows a hybrid work structure where the expectation is to work on the field and at home on a weekly basis. The home office is located at 1301 Atwood Avenue, Suite 206N, Johnston, RI 02919.
This position requires up occasional travel for onsite visits or team meetings.
The target pay range for this role is between $40.00 - $48.00 per hour. Actual compensation will be determined based on geographic location (current or future), experience, and other job-related factors.

Astrana Health is proud to be an Equal Employment Opportunity and Affirmative Action employer. We do not discriminate based on race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. All employment is decided based on qualifications, merit, and business need. If you require assistance in applying for open positions due to a disability, please email us at [email protected] to request an accommodation.

Additional Information:
The job description does not constitute an employment agreement between the employer and employee and is subject to change by the employer as the needs of the employer and requirements of the job change.

About Astrana Health, Inc.

Astrana Health (NASDAQ: ASTH) is a physician-centric, technology-powered healthcare management company. We are building and operating a novel, integrated, value-based healthcare delivery platform to empower our physicians to provide the highest quality of end-to-end care for their patients in a cost-effective manner. Our mission is to combine our clinical experience, best-in-class delivery network, and technological expertise to improve patient outcomes, increase access to healthcare, and make the US healthcare system more efficient.

Our platform currently empowers over 20,000 physicians to provide care for over 1.7 million patients nationwide. Our rapid growth and unique position at the intersection of all major healthcare stakeholders (payer, provider, and patient) gives us an unparalleled opportunity to combine clinical and technological expertise to improve patient outcomes, increase access to quality healthcare, and reduce the waste in the US healthcare system.

Quick Apply

Refine Your Search

complex care case manager jobs in providence, ri

Care Manager (RN)

Complex Care APRN

RN MDS Coordinator/Case Manager

Recreational Therapist (HBRS)

Nurse Practitioner – Nephrology

Case Manager – Housing Services (Danielson, CT)

Case Management Special Programs - Per Diem Case Manager

Registered Nurse, Care Manager

Revenue Integrity Specialist

RI Works Case Manager

Patient Navigator

Community Health Worker, Integra

Social Worker BSW

Director of Special Education Services

Licensed Clinical Therapist

Healthcare Enterprise Architect

Point of Entry RN/ER Case Manager - Per Diem

Hybrid Registered Nurse Care Manager

Registered Nurse

(USA) Asset Protection Operations Coach

I want to receive the latest job alert for complex care case manager in providence, ri

Related Searches

Explore jobs in more locations

Description

What You'll Do

Qualifications

Environmental Job Requirements and Working Conditions

About Astrana Health, Inc.

Job Seeker Tools

Employer Tools

Browse

Stay Connected