Nurse Care Manager
Lake Oswego, OR, United States
Actalent
Nurse Care Manager
Portland ,
Oregon
Apply Now
Perform Care Management duties to assess plan and coordinate all aspects of medical and supporting services across the continuum of care for select members to promote quality cost effective care.
Will support pediatric patients from birth to age 21.
Develop assess and adjust as necessary the care plan and promote desired outcome.
Assess the member's current health status resource utilization past and present treatment plan and services prognosis short and long term goals treatment and provider options.
Coordinate services between Primary Care Physician PCP specialists medical providers and non-medical staff as necessary to meet the complete medical socio economic needs of clients.
Develop plan of care based upon assessment with specific objectives goals and interventions designed to meet member's needs.
Provide patient and provider education.
Facilitate member access to community based services.
Monitor referrals made to community based organizations medical care and other services to support the members overall care management plan.
Actively participate in integrated team care management rounds.
Identify related risk management quality concerns and report these scenarios to the appropriate resources.
Enter and maintain assessments authorizations and pertinent clinical information into various medical management systems.
Conducting comprehensive assessments of members health needs.
Developing personalized care plans based on members needs and input.
Making outbound calls and taking inbound calls -will spent most of their day on the phone reaching out to members
Data Entry
Must have strong computer skills
Navigating multiple systems.
Caseload target 75-80.
Case Duration 90 days.
Addressing 90% of Care Gaps.
Skills:
Additional Skills & Qualifications:
Graduate from an Accredited School of Nursing (BSN preferred).
2+ years of pediatric clinical nursing experience, either in a clinical acute care OR community setting.
Care Coordination experience - coordinating care for patients.
Experience with Clinical Assessments.
Pediatric experience (birth to 21).
Strong MS Office and computer skills (ability to do basic computer troubleshooting and navigation).
Excellent organizational & time management skills.
Experience with navigating multiple systems, software, programs, screens, tabs etc.
About Actalent
Actalent is a global leader in engineering and sciences services and talent solutions. We help visionary companies advance their engineering and science initiatives through access to specialized experts who drive scale, innovation and speed to market. With a network of almost 30,000 consultants and more than 4,500 clients across the U.S., Canada, Asia and Europe, Actalent serves many of the Fortune 500.
Diversity, Equity & Inclusion
At Actalent, diversity and inclusion are a bridge towards the equity and success of our people. DE&I are embedded into our culture through:
Maintaining an inclusive environment through persistent self-reflection
Building a culture of care, engagement, and recognition with clear outcomes
Ensuring growth opportunities for our people
The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.
If you would like to request a reasonable accommodation, such as the modification or adjustment of the job application process or interviewing process due to a disability, please email [email protected] (%[email protected]) for other accommodation options.
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