RN Plan Case Manager

PruittHealth Job Opportunity

Responsible for the oversight of clinical care management of community based long-term care population for PruittHealth Premier Dual Eligible Special Needs Plan (DSNP). Works to advise and coordinate clinical care across the health care continuum of both community based clinical providers as well as social support programs where PruittHealth Members receive support. Assist patients to achieve optimal health status utilizing the most cost-effective quality resources through application of model of care practice guidelines and Case Management (CM) Standards of Practice. Implement appropriate interventions to manage multiple physical, psychological, social and financial barriers in cooperation with the patient, PruittHealth Premier, and medical provider. Position will interact with members in both a home and community-based provider setting.

Duties may include, but not limited to the following:

• Conduct in-home and telephonic ...