Case/Care Manager, Senior

Adecco Medical & Science is looking to recruit a Case/Care Manager in

Las Vegas, NV.

 

Type:                     Contract

Length:                 1 year

Hours:                   11AM-9:30PM, four separate 10 hour shifts a week



Major Responsibilities:

1. Perform thorough telephonic nursing assessment and clinical review to determine appropriate triage protocol to utilize for nurse care advice. Ensure member is directed to appropriate level of care at contracted facilities.
2. Assess, plan and implement care strategies that are individualized by patient and directed toward the most appropriate, least restrictive level of care.
3. Utilize both company and community based resources to establish a safe and effective case management plan for hospitalized members.
4. Collaborate with member, family and health care providers to develop an individualized plan of care that encompasses both acute care episode and post hospital discharge plan.
5. Communicate with all stakeholders the required health related information to ensure quality coordinated care and services are provided expeditiously to all members.
6. Advocate for members and families as needed to ensure the member’s needs and choices are fully represented and supported by the health care team.
7. Utilize approved clinical criteria to assess and determine appropriate level of care for hospitalized members.
8. Understand insurance products, benefits, coverage limitations, insurance and governmental regulations as it applies to the health plan.

Competencies and Best Practice for High Performers:
• Strong organizational and computer skills.
• Strong written and oral communication skills.
• Good problem solving skills.
• Ability to negotiate with professionals, patients and caregivers.
• Independent case management knowledge and skills to formulate plans of care without direct supervision preferred.
• Ability to contribute to the organization’s efforts to eliminate racial and ethnic disparities in organizational performance.

Shift:

  • Four 10 hour shifts each week
  • 11AM-9:30PM
  • Rotating weekends and Holidays
  •  

    IMPORTANT: This job is being recruited for by Adecco’s Medical and Science division, not your local Adecco Branch Office.

    For opportunities available at Adecco Medical and Science go to www.adeccousa.com/industries/medical-and-science 

    Equal Opportunity Employer/Veterans/Disabled. To read our Candidate Privacy Information Statement, which explains how we will use your information, please visit http://www.adeccousa.com/candidate-privacy/. The Company will consider qualified applicants with arrest and conviction record



    Equal Opportunity Employer/Veterans/Disabled

    To read our Candidate Privacy Information Statement, which explains how we will use your information, please navigate to https://www.adeccousa.com/candidate-privacy

    The Company will consider qualified applicants with arrest and conviction records

    • Apply with Adecco

    Reference number US_EN_99_101084_1626658