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Job Title:
Registered Nurse – Care Management – SHP (Remote)
Cost Center:
682891395 SHP-Health Svcs Utiliztn Mgmt
Scheduled Weekly Hours:
40
Employee Type:
Regular
Work Shift:
Mon-Fri; 8:00 am – 5:00 pm (United States of America)
Job Description:
JOB SUMMARY
The Care Management Registered Nurse (RN) functions as an integral member of the Case Management Team of Security Health Plan. The Care Management RN is responsible for the assessment, coordination, planning, and implementation of case management services. S/he is also responsible for carrying out the management of specific, individual medical episodes identified through utilization review, disease management, and quality assurance functions. This individual ensures that case management program objectives are met by evaluating the effectiveness of alternative care services and that cost effective, quality care is maintained.
JOB QUALIFICATIONS
EDUCATION
For positions requiring education beyond a high school diploma or equivalent, educational qualifications must be from an institution whose accreditation is recognized by the Council for Higher Education and Accreditation.
Minimum Required: Graduate of an accredited school of nursing.
Preferred/Optional: Bachelor’s degree in nursing preferred.
EXPERIENCE
Minimum Required: Five years’ clinical experience in home health, nursing home, hospital, community outreach care, case management, utilization management, and/or discharge planning. Experience with keyboard, computer, and general office equipment.
Preferred/Optional: Experience in quality assurance/improvement. Knowledge of insurance, BadgerCare/Medicaid, and Medicare requirements.
CERTIFICATIONS/LICENSES
The following licensure(s), certification(s), registration(s), etc., are required for this position. Licenses with restrictions are subject to review to determine if restrictions are substantially related to the position.
Minimum Required: Current State of Wisconsin Registered Nurse License or Nurse Compact License. B Valid driver’s license required with an acceptable record.
Preferred/Optional: Utilization Review and/or case management certification.
Marshfield Clinic Health System is committed to enriching the lives of others through accessible, affordable and compassionate healthcare. Successful applicants will listen, serve and put the needs of patients and customers first.
At Marshfield Clinic Health System, we are fully committed to addressing health equity, diversity and inclusion for our employees and providers, our patients, and the communities we serve. We believe that every individual should have the opportunity to attain their highest level of health. We embrace diversity and welcome differences in who we are and how we think. We believe that any individual or group should feel welcomed, respected and valued.
View our Equity and Inclusion Statement here
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Exclusion From Federal Programs: Employee may not at any time have been or be excluded from participation in any federally funded program, including Medicare and Medicaid. This is a condition of employment. Employee must immediately notify his/her manager or the Health System’s Compliance Officer if he/she is threatened with exclusion or becomes excluded from any federally funded program.
Marshfield Clinic Health System is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to sex, gender identity, sexual orientation, race, color, religion, national origin, disability, protected veteran status, age, or any other characteristic protected by law.