Managed Care Advisors

  • Case Manager Supervisor RN, Medicare Program (Home Based)

    Job Locations US-MD-Bethesda
    Posted Date 3 weeks ago(11/28/2018 2:37 PM)
    Job ID
    2018-1071
    Category
    Case Management
  • Overview

    Are you interested in empowering and sustaining healthy, positive and measurable differences in the health of individuals while leading a team? Does the thought of leading and motivating a team of exceptionally talented case managers inspire you? Do you thrive in shaping and organizing teams to provide high quality care that affect individual lives? We believe it takes teamwork and organization to provide medical and care expertise to help those with chronic acute conditions to live their best life. Teamwork lead by a highly skilled home based Case Manager Supervisor RN (CMS), Medicare Program. 

     

    As Case Manager Supervisor, your broad responsibilities will include overseeing a service delivery team while providing medical case management services to Medicare beneficiaries. Ideal candidates will possess both a nursing leadership background that enables them to supervise, coach, and easily interact with nurse care managers, as well as a professional background that enables them to easily interact and establish deep professional relationships with primary care physicians at a high level. As Case Manager Supervisor, you will collaborate with the Unit Manager to ensure consistent delivery of case management services across Maryland. This opportunity is available in Maryland, N. Virginia, and DC surrounding area.

    Responsibilities

     

    • Work independently in your home office setting while supervising a team of case managers.
    • Through application of a unique mix of experience and certification, your team and you will develop and assess care coordination services to improve health, reduce health risk, and prevent unnecessary hospitalizations for Medicare beneficiaries with a designated Primary Care Practice (PCP).
    • Use motivational interviewing techniques to identify patient’s readiness to change, implement appropriate actions based on assessment support the member in developing a specific action plan when ready.
    • Identify and discuss management of co-morbid conditions with patient and treating Primary Care Practice to ensure excellent risk factor control.
    • Review patient current medical status and revise care plan as needed in conjunction with patient, treating physician, and healthcare team.
    • Assess and monitor the medical regimen and patient’s response; assist the patient in developing specific care plans, and serve as the multi-disciplinary team liaison.
    • Provide medical, care management expertise, and serve as a critical communication link for the patients and families with the physicians and staff of a designated Practice.
    • Ensure timely interventions and facilitate continuous communication within the CM team and PCP while supporting patient choices with education and support.
    • Document and maintain accurate database to track patient progress and improving goals.

    Qualifications

    • Unrestricted State Registered Nursing License in Maryland (compact state). Nursing Diploma, BSN preferred
    • 5-10 years related clinical experience in general medical, geriatrics and/or comparable field 
    • 5+ years program and staff management
    • 3-5 years preferred experience within a Primary Care office or clinic
    • National certification in related field or obtained within 12 months of date of hire
    • Demonstrated ability to work independently and along with others
    • Attention to detail, timetables, and commitment to completing tasks
    • Experience with Microsoft Windows and computer savvy
    • Must be well organized, efficient, make sound judgements, and able to prioritize and work with competing priorities
    • Ability to define, resolve problems and challenges in a workplace setting
    • Responsible for having reliable High-Speed Cable or Fiber Optic Internet service
    • Must have Excellent People Skills and Communication Skills via Phone, E-Mail, Text, Written and Verbal format, and provide 24 hour follow-up to all communication
    • 30% travel in Maryland
    • Cell phone and lap top provided
    • Paid mileage
    • U.S. Citizenship
    • Prior to hire and training able to pass a preliminary credit and background check

     

    Managed Care Advisors (MCA), a rapidly expanding Consulting and Full-Service Medical Case Management Company servicing federal government and private industry customers nationwide and across all US Territories. We are looking for Full-Time Care Manager Supervisor RNs with a desire to make a difference in someone's life and to be a part of the Interdisciplinary Team responsible for providing telephonic care management to maximize the patient and family's quality of life.

     

    This opportunity is in Maryland, N. Virginia, and DC.  Come join our winning team and grow with us!

     

    To be considered for this position, please submit a cover letter and resume, and complete the application.

     

    The information provided above has been designed to indicate the general nature and level of work of the position. It is not a comprehensive inventory of all duties, responsibilities and qualifications required.

     

    Important Information  

     

    Successful candidates will be required to undergo a credit and criminal background check, drug screen, and obtain and maintain confidential-level security clearance upon hire. We participate in the United States Federal Government E-Verify program to confirm the employment authorization of employee upon hire. 

     

    MCA strives to make our career site accessible to all users. If you need a disability-related accommodation for completing the application process, please contact MCA regarding accommodations.

    MCA is an Equal Opportunity and Affirmative Action Employer

    All qualified applicants will receive consideration for employment without regard to age, citizenship status, color, disability, marital status, national origin, race, religion, sex, sexual orientation, gender identity, veteran status or any other classification protected by federal state or local laws as appropriate, or upon the protected status of the person’s relatives, friends or associates.

    MCA abides by the requirements of 41 CFR 60-741.5(a). This regulation prohibits discrimination against qualified individuals on the basis of disability, and requires affirmative action by covered prime contractors and subcontractors to employ and advance in employment qualified individuals with disabilities.

    MCA abides by the requirements of 41 CFR 60-300.5(a). This regulation prohibits discrimination against qualified protected veterans, and requires affirmative action by covered prime contractors and subcontractors to employ and advance in employment qualified protected veterans.

     

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