CTG Care Manager II - (RN)(San Antonio, TX) in San Antonio, Texas

Title: Care Manager II - (RN)(San Antonio, TX)

Location: US-TX-San Antonio

Job Number: 16207433

Care Manager II – (RN) (San Antonio, TX)

Our client in the healthcare industry has an immediate opportunity for aCare Manager, II (RN)inSan Antonio, TX. This is a full time, direct placement opportunity.

Our client is now one of the largest providers of Medicaid, Medicare Advantage, and other government-sponsored and commercial programs in the country. They provide access to affordable healthcare to more than 11 million members across the country.

If you are selected for this opportunity, you will be reporting to the Manager, Case Management, and will be surrounded by colleagues who are dedicated to meeting their own high standards, to inspiring their teammates and to making a positive impact on under-insured and uninsured individuals. Our client’s employees are fast, agile, customer-focused multi-taskers with a commitment to implementing the latest technologies. If these same things get you excited, we hope to hear from you.

Responsibilities:

Position Purpose: 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.


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


Utilize assessment skills and discretionary judgment to develop plan of care based upon assessment with specific objectives, goals and interventions designed to meet member's needs and promote desired outcomes


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


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.


Case load will reflect heavier weighting of complex cases than Care Manager I, commensurate with experience


Enter and maintain assessments, authorizations, and pertinent clinical information into various medical management systems


Direct care to participating network providers


Perform duties independently, demonstrating advanced understanding of complex care management principles.


Participate in case management committees and work on special projects related to case management as needed

Qualifications:


Current state’s RN license


Graduate from an Accredited School of Nursing - Bachelor’s degree in Nursing preferred


2 years of clinical nursing experience in an acute care setting


1 years of case management experience in a managed care setting


Knowledge of utilization management principles and healthcare managed care


Experience with medical decision support tools (i.e. Interqual, NCCN) and government sponsored managed care programs

To Apply: To be considered immediately, please apply to this requisition using the link provided. For additional information please contact Brenda Martin atbrenda.martin@ctg.comor (507) 438-3943. Kindly forward to any other interested parties—thank you!

Qualifications:

CTG is the most reliable IT services provider, built on 50 years of meeting our commitments to make technology work for clients and deliver real business value. CTG provides industry-specific IT strategy, services, and solutions that address the business needs and staffing challenges of clients in high-growth industries, including major technology companies, large corporations, and government entities located in North America and Western Europe.

CTG's greatest asset is its people, and as such we are committed to providing employees programs and processes to support their performance, hone their skills, and advance in their careers. This commitment is reflected by CTG being named a Best Places to Work Company by Modern Healthcare (since 2013) in North America, and a Best Places to Work Company in the United Kingdom (2013), Belgium (since 2007), and Luxembourg (since 2011).

CTG will consider for employment all qualified applicants including those with criminal histories in a manner consistent with the requirements of all applicable local, state, and federal laws.

CTG is an Equal Opportunity/Affirmative Action Employer and strong advocate of workforce diversity. Minority/Female/Sexual Orientation/Gender Identity/Disability/Veteran.

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