Registered Nurse, Medical Care Manager jobs in United States
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Envision Unlimited · 21 hours ago

Registered Nurse, Medical Care Manager

Envision Unlimited is a full spectrum of care organization serving people with disabilities from infants to 80+ years old. The Medical Care Manager (MCM) provides pre- and post-transition medical care management and clinical services to individuals with mental or physical illness, ensuring adherence to nursing timeframes and conducting ongoing assessments of clients' health status.

Non ProfitService IndustrySocial

Responsibilities

The MCM will provide pre- and post-transition services
The MCM will adhere to all nursing timeframes in the Williams/Colbert Consent Decree
The MCM will complete a physical assessment at the member’s home within 7 days of discharge
The MCM will be responsible for following up with the member, in person, after any crisis or unscheduled ER visit
The MCM will conduct weekly phone screenings to assigned members and any member who has questions about a diagnosis or test result or specialty visit
The MCM will be responsible for conducting on-going assessments of CM’s level of functioning and update plans including (1) functional status, (2) risk of harm, (3) medication status, (4) healthcare utilization, (5) psychosocial status, and (6) community engagement as needed
The MCM will conduct medication status evaluation and report the Healthcare Coordinator the CM’s ability to self-manage their medication and keep a tracking sheet
The MCM will be responsible for assisting the care managers with development and implementation of the medical portion of comprehensive assessments and service plans. MCM support is needed in reviewing medical documentation for initial assessments and plans
The MCM will conduct medication status evaluations and report and document the class member’s ability to self-manage their medication
The MCM will work with Managed Care Organizations to secure appropriate referrals, linkages, and appointments
The MCM will meet productivity targets and complete documentation in a timely manner, including clinical documentation and service reporting
In conjunction with the client’s treatment team, the MCM will keep the client’s family, guardian, and other Envision Unlimited staff informed of the client’s progress, including emergency room visits, hospitalizations, and medication changes/adjustments
The MCM will provide, and document crisis interventions as needed, within 24 hours of an incident and complete the reportable event when necessary
Other duties as assigned (i.e., RI follow-up, CM visit post transition, unscheduled ER visit, and ER to hospital transfers

Qualification

RN LicenseBSNChronic health experienceSocial Services experienceCrisis interventionDocumentation skillsCommunication skillsTeam collaborationTime management

Required

BSN, must have a current state of Illinois RN License
1-2 years of related experience working with individuals with chronic mental and physical health conditions
Must have a valid driver's license
Must have the ability to walk, bend, stoop, sit, stand, reach, and lift 50 pounds

Preferred

3-5 years of experience preferred working with vulnerable populations within Social Services and Healthcare industries

Benefits

Blue Cross/Blue Shield Medical Coverage: HMO, PPO
Dental and Vision Insurance Options
Company paid Life and LTD Insurance
Voluntary plans (Pet insurance, AD&D, Life, Critical Illness, Short Term Disability)
12 Paid Holidays
Paid vacation, sick time and personal days
403B plan
In house training and CEU’s
Employee Assistance Network
Support for pursuing clinical licensure (financial and time off)
Opportunity for career growth & development
Participate in Tuition forgiveness program

Company

Envision Unlimited

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Envision Unlimited is a non-profit organization that supports children and adults living with developmental and intellectual disabilities.

Funding

Current Stage
Late Stage

Leadership Team

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Mark McHugh
President and Chief Executive Officer
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Lauren Smith, SPHR, SHRM-SCP
Chief Human Resources Officer
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Company data provided by crunchbase