Care Ally, RN Case Manager
Company: Curana Health
Location: Miami
Posted on: January 27, 2023
Job Description:
Curana Health is a provider-led, primary and post acute
organization focused on senior living communities and senior living
residents. We are committed to redefining and improving how health
care is delivered in senior living communities to ensure residents
get outstanding care and clinicians are able to practice in a
highly fulfilling and rewarding environment. What we can offer you:
We are passionate about using data and quality metrics to provide
high quality care that prioritizes and preserves autonomy for the
patients we serve. We are a value-driven organization that offer
competitive pay, comprehensive benefits, flexible scheduling, and
so much more. Be a part of something bigger Are you seeking an
opportunity to make a meaningful difference for seniors? Join us
and become part of a team of people whose mission is to improve the
health, happiness and dignity of senior living residents! We are a
compassionate primary and post-acute care organization serving
seniors in assisted living, life plan communities, independent
living, skilled nursing, and long-term care facilities across the
United states.SUMMARYThe Care Ally, RN Case Manager is a key member
of the interdisciplinary care team (ICT). They use a collaborative
process of assessment, planning, implementing, coordinating,
monitoring, and evaluating options and services required to meet
the members health and social needs.They act as a liaison between
our Members, their Responsible Parties and/or Power of Attorneys
(RP/POAs), Advance Plan Provider/PCP, and key Align Senior Care
stakeholders. The Care Ally, RN Case Managerreports to the
Supervisor of Case Management. This is an on-site role in Miami.
This work is mostly in person with some travel.Responsibilities
- Executes on strategies and goals set by the Align Senior Care
Board of Directors, the AllyAlign Senior Leadership Team, and
Executive Director for managing and improving overall Member
experience.
- Contacts Plan members to conduct a comprehensive health
assessment of the individual, develop a plan of care, and
participate in the facilitys interdisciplinary care team
meeting.
- Serves as health coach to educate the member, the family and/or
caregiver, about disease status and treatment, plan benefits,
community resources, and resource options
- Collaborates with members of the interdisciplinary care team
and medical director(s) to facilitate appropriate treatment for
members
- Routinely follows up with member as scheduled to assess
progress towards goals
- Communicates with the member and/or caregiver to assist with
the development of health goals and identify interventions to
achieve these goals
- Provide patient-centered intervention; such as making and
verifying appointments, performing medication and care compliance
initiatives;
- Acts as front-line support with Members and their RP/POAs to
ensure the needs of the Member are met. Serves as a connection
point among Members, their Communities, their Care Team, and Align
Senior Care internal departments.
- Regularly engages Align Senior Care Members and RP/POAs
in-person or by phone to provide education and assistance with
utilizing Align Senior Care benefits. Including but not limited to.
checking on upcoming specialist appointments, connecting members to
supplemental benefits and providers, identifying immediate Member
needs, and answering any questions the Member or RP/POA may
have.
- Communicates Member health updates from Care Team to
RP/POAs.
- Coordinates with the Care Team for non-urgent health or
clinical questions.
- Works directly with internal departments to solve Member
Grievances, Utilization Management, and Billing related
issues.
- Updates Member and RP/POA contact information such as changes
of address, email, or phone numbers.
- Actively supports Account Manager in identifying and securing
contracts with "preferred" Providers.
- Assists Members, RP/POAs, and Partner Communities with locating
in-network providers and scheduling/facilitation of
appointments.
- Assists with (on request of member or APP) coordination of home
health and therapy visits, ordering of Durable Medical Equipment,
and utilization of supplemental benefits for Members.
- Monitors and, if needed, facilitates care team meetings with
facility team, member, responsible partie(s) and the APP/clinical
team.
- Ensures documentation of care team meetings and transmits to
Plan.
- Monitors care plan updates, facilitates APP and PCP input into
care plan, and distributes care plan as needed to care team
members.
- Monitors midnight reports/community census to help identify
member transitions to hospital or other care levels.Education &
Experience
- Registered nurse license, active and unencumbered state license
in the state where job duties are performed is required. BSN
preferred.
- One (1) year of clinical practice experience in at least one of
the following areas: case management, home health, critical care,
medical/surgical, discharge planning, concurrent review, or
obstetric/neonatal care.
- Proficiency using basic computer skills in Microsoft Office
such as Word, Excel, and Outlook, including the ability to navigate
multiple systems and keyboarding.
- Case management certification preferredProfessional
Certification Or LicensesCurrent Unrestricted Registered Nurse
License
Keywords: Curana Health, Miami , Care Ally, RN Case Manager, Executive , Miami, Florida
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