Contract to Hire
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. 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 member's 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
8:30AM to 5PM standard hours.
Call Center/Office Cubicle Environment.
A leading multi-line health care enterprise that provides programs and services to government sponsored health care programs, focusing on under-insured and uninsured individuals. Many receive benefits provided under Medicaid, including the State Children's Health Insurance Program (CHIP), as well as Aged, Blind or Disabled (ABD), Foster Care and Long Term Care (LTC), in addition to other state-sponsored/hybrid programs, and Medicare (Special Needs Plans). The Company operates local health plans and offers a range of health insurance solutions. It also contracts with other health care and commercial organizations to provide specialty services including behavioral health, care management software, correctional systems health care, in-home health services, life and health management, managed vision, pharmacy benefits management, specialty pharmacy and telehealth services.
At least two years clinical nursing experience.
Licenses/Certifications: RN required. Current state nursing license.
CCM Cert preferred.
1. Registered Nurse experience 2. Case management experience 3. Medicare/Medicaid experience
Associate's degree in Nursing OR Bachelor's degree in Nursing preferred
Current unrestricted nursing license for the state of Georgia
CCM - certified case manager big plus
Interqual is preferred
2 years clinical or acute care experience, 1 year managed care experience
Our people are everything. As a Best of Staffing® Client and Talent leader, Aerotek® Inc. has distinguished itself as a leader in recruiting and staffing services, by having a deep understanding of the intersection of talent and business. As a strategic partner to more than 17,000 clients and 300,000 contract employees every year, Aerotek's people-focused approach yields competitive advantages for its clients and rewarding careers for its contract employees. Headquartered in Hanover, Md., Aerotek operates a network of over 230 non-franchised offices with more than 6,000 internal employees dedicated to serving our customers. Aerotek is an operating company of Allegis Group, a global talent solutions provider. To learn more, visit aerotek.com.
The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.
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