Care Manager (RN)
BC Forward

Job Info

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Care Manager (RN)

BCForward is looking for Care Manager (RN)- Remote- IN

Position Title: Care Manager (RN)

Location: Indiana remote worker, with occasional in-office attendance for staff meetings (quarterly) at 429 N. Pennsylvania, Suite 109, Indianapolis, IN, 46204.

Anticipated Start Date: 1/27/2025

Expected Duration: 01 Year Contract

Job Type: [FULL TIME (>=40 HRS WEEKLY)/ [TEMP], [Remote]

Shift: 8:00 AM - 5:00 PM, with potential for alternate shifts after 120 days based on performance.

Pay Range: $45.00 - $50.00/hr on W2

Position Purpose:
The Care Manager (RN) is responsible for developing, assessing, and facilitating complex care management activities for members, primarily focusing on physical health needs. The role aims to ensure high-quality, cost-effective healthcare outcomes by providing personalized care plans, education, and support to members and their families. The Care Manager evaluates the needs of each member, addresses barriers to care, and helps facilitate the best care plans in collaboration with providers, specialists, and community resources.

Key Responsibilities:

• Care Management and Coordination:
• Assess the physical, social, and healthcare needs of members.
• Identify and address barriers to accessing appropriate care, including social determinants of health.
• Develop and update personalized care plans, collaborating with providers, specialists, and community resources.
• Coordinate care between members, caregivers, and the healthcare team to ensure high-quality, person-centered care.
• Monitor and evaluate member progress toward care plan goals and update care plans as necessary to meet evolving needs.
• Care Plan Development:
• Create ongoing, personalized care or service plans tailored to member needs and priorities.
• Collaborate with healthcare providers to ensure timely and appropriate care delivery.
• Offer educational support to members and caregivers on disease management, healthcare options, and available community resources.
• Resource Support:
• Identify and provide referrals to resources that address needs such as housing, employment, or social support services.
• Facilitate connections between members and community resources to ensure comprehensive care.
• Communication and Outreach:
• Perform outreach via telephonic, digital, or in-person assessments to evaluate member needs.
• Provide telephonic or digital engagement through cold calls to enroll members in care management programs and develop care plans.
• Documentation and Compliance:
• Maintain comprehensive, accurate, and timely documentation of all care management activities.
• Ensure compliance with state, federal, and third-party payer regulations related to care management and healthcare delivery.
• Education and Training:
• Provide education to members and caregivers about healthcare benefits, disease management, and care options.
• Continuously provide feedback to leadership on opportunities for improving care and quality delivery.

Skills/Experience:

• Required:
• Strong clinical knowledge and experience in nursing, particularly in adult care and medical/hospital settings.
• Proficient in using multiple computer programs and electronic health record (EHR) systems.
• Excellent verbal and written communication skills.
• Ability to engage members in a positive and empathetic manner, especially in telephonic or cold-call settings.
• Registered Nurse (RN) licensure in the state of practice (or Compact State Licensure).
• Preferred:
• Experience with Medicaid insurance and Managed Care.
• Care management or case management certification (CCM) preferred.
• Experience with telephonic or digital outreach and cold calling for member engagement.

Education/Experience:

• Required:
• Degree from an Accredited School of Nursing or a Bachelor's degree in Nursing.
• 2-4 years of related experience in nursing, care management, or a clinical setting.
• Preferred:
• Experience in care management or managed care settings.
• Knowledge of Medicaid and insurance processes is preferred.

Performance Metrics and Expectations:

• Maintain a caseload of approximately 50 members.
• Complete 20-40-member outreach calls daily.
• Achieve a 90% monthly Quality Audit score.

Benefits
BCforward offers all eligible employees a comprehensive benefits package including, but not limited to major medical, HSA, dental, vision, employer-provided group life, voluntary life insurance, short-term disability, long-term disability, and 401k.

About BCforward:

Founded in 1998 on the idea that industry leaders needed a professional service, and workforce management expert, to fuel the development and execution of core business and technology strategies, BCforward is a Black-owned firm providing unique solutions supporting value capture and digital product delivery needs for organizations around the world. Headquartered in Indianapolis, IN with an Offshore Development Center in Hyderabad, India, BCforward's 6,000 consultants support more than 225 clients globally.

BCforward champions the power of human potential to help companies transform, accelerate, and scale. Guided by our core values of People-Centric, Optimism, Excellence, Diversity, and Accountability, our professionals have helped our clients achieve their strategic goals for more than 25 years. Our strong culture and clear values have enabled BCforward to become a market leader and best in class place to work.

BCforward is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, or protected veteran status and will not be discriminated against based on disability.

To learn more about how BCforward collects and uses personal information as part of the recruiting process, view our Privacy Notice and CCPA Addendum. As part of the recruitment process, we may ask for you to disclose and provide us with various categories of personal information, including identifiers, professional information, commercial information, education information, and other related information. BCforward will only use this information to complete the recruitment process.

Interested candidates please send resume in Word format Please reference job code 233857 when responding to this ad.

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Salary Details

This salary was provided in the Job Posting.

$45-$50

Hourly Salary

Job Snapshot

Employee Type
Contractor

Location
Indianapolis, IN (Onsite)

Job Type
Health Care, Insurance, Nurse

Experience
Not Specified

Date Posted
01/06/2025

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