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RN, Case Manager
Location: Salem, New Hampshire
Career Level: Mid Career (2+ years of experience)
Education: Diploma
Job Type: Full time/Permanent
Relocation: No
Job Description:
Through early intervention, the Case Manager will apply the six essential activities of Case Management to assure achievement of an individual’s maximum level of wellness. Via appropriate, quality, cost-effective alternative care delivery, the Case Manager will explore community resources and alternative funding in order to maximize health care benefit. The Case Manager will assist an individual to self-direct and self-advocate thus assurance of an informed and empowered healthcare consumer.
Essential Duties and Responsibilities:

• Acts as an advocate and approaches clientele, according to his/her level of wellness, handicap, or injury with alternatives which may improve his/her quality of life.
• Ethically engages in the six essential activities of the Case Management process in order to assess, plan, implement, coordinate, monitor and evaluate health care delivery.
• Applies six components of case management to each of the five core areas: coordination/service delivery, physical/psychological factors, benefit systems and cost analysis, case management concepts and community resources.
• Practices case management within the full continuum of care encompassing multiple environments.
• Interacts with all healthcare systems and continues involvement with all participants to deal with an individual’s broad spectrum of need.
• Applies CMSA standards of practice to an individual’s holistic, healthcare, occupational, psychosocial, cultural and financial need.
• Composes confidential, timely, report mechanisms that clearly document goals, objectives, outcomes and cost benefit analysis.
  Education and/or Experience:
• RN Degree or Diploma :current NH/PA license, RN licensure within state of case management practice
• 3 years medical, surgical clinical experience: 3-5 years case management or disease management experience. Case Management certification
  Knowledge and skills:
• Excellent written/oral/communication skills.
• Intermediate Word, Excel computer skills.
• Demonstrated success as a case manager with basic Utilization Review skills, Managed Care Software knowledge.
• Knowledge of the insurance industry, benefits coverage and claims processing.
• Ability to apply the six components to the five core areas of the case management process.
• Knowledge of case management principals, clinical guidelines, and CMSA standards.
• Ability to prioritize caseload, combining comprehensive nursing knowledge and skill with cost savings methodology and technique.
• Knowledge of health care providers, alternative funding and community resources; ability to prioritize and utilize them efficiently within the benefit plan.
• In depth knowledge of nursing care plans/skill and ability to facilitate and coordinate transition of patients with catastrophic injuries/illnesses through cost effective, medically appropriate, alternative levels of care.
  Bottom line requirements that we need with candidate submittal;
  1. RN Degree or Diploma.
  2. Current RN licensure.
  3. 3+ years medical, surgical clinical experience.
  4. 3+ years case management or disease management experience.
  5. Case Management certification, CCM.
  6. Local or within the Region. If you meet the above qualifications submit your resume now to recruitnow2012@gmail.com. Do Not Delay, interviews being scheduled NOW, and hiring this week! DON’T WAIT. . . contact me immediately! Location: Salem, New Hanpshire Compensation: Based on Experience, Very Competitive, Benefits
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