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Clinical - Care Manager (RN)

Pyramid Consulting
2 days ago
Contract
Remote
United States
$39 - $40 USD hourly
Medical & Pharmacy

Immediate need for a talented Clinical - Care Manager (RN). This is a 06+months contract opportunity with long-term potential and is located in U.S(Remote). Please review the job description below and contact me ASAP if you are interested.

Job ID: 26-30620

Pay Range: $39/hr - $40/hour.  Employee benefits include, but are not limited to, health insurance (medical, dental, vision), 401(k) plan, and paid sick leave (depending on work location).

Key Responsibilities:

  • Evaluate member needs and barriers to accessing care, focusing on their priorities.
  • Develop ongoing care plans and collaborate with providers to address unmet needs.
  • Identify problems and provide appropriate care management interventions.
  • Coordinate between members, families, and care providers to ensure person-centered care.
  • Monitor member status and revise care plans as necessary to meet goals.
  • Provide resource support for local services based on assessments.
  • Facilitate care management and ensure timely access to needed services.
  • Conduct outreach via telephonic, digital, or home visits to assess member needs.
  • Maintain compliance with state, federal, and payer regulations through documentation.
  • Educate members and families on disease processes and care options.
  • Offer feedback to leadership on opportunities for improving care delivery.

Key Requirements and Technology Experience: 

  • 2 - 4 years of related experience in care management or nursing.
  • Degree from an Accredited School of Nursing or a Bachelor's degree in Nursing.
  • RN - Registered Nurse - State Licensure and/or Compact State Licensure required.
  • For YouthCare Illinois plan only: Bachelor’s Degree and IL RN licensure required.
  • For Sunshine Health (FL) only: Minimum of two years of pediatric experience may be required.


Our client is a leading Healthcare Industry, and we are currently interviewing to fill this and other similar contract positions. If you are interested in this position, please apply online for immediate consideration.

Pyramid Consulting, Inc. provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

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