Case Manager (Rn) (Hybrid - Reside Within 2 Hours Of Navajo County, Arizona)

Following a 2022 merger of CNSI and Kepro, Acentra Health combines clinical services, technology solutions, and data analytics to accelerate better health outcomes. This is a great time to join our team of passionate individuals working together to pursue the most effective solutions to today’s complex healthcare challenges. Our culture is fueled by passion and driven by purpose.
Case Manager (RN)

• Are you an experienced Case Manager (RN) looking for a new challenge?
• Are you looking to join a team that ensures a collaborative and inviting culture where everyone can thrive?

If so, you might be our next new team member!

• Drive time distance of up to a two-hour radius maximum (with mileage reimbursement).
• Phone and In-Home Visits **
• The percentage of in-home, in-person care coordination visits is up to approximately 25%, and 75% telephonic care delivery.
• The first dose of the COVID-19 vaccination is required as you will be working in person with beneficiaries.
• Fluency in Athabaskan/Navajo language and translation skills are essential. **

Who We Need
The Case Manager (RN):

• Fosters an environment that incorporates the Funds “caring” philosophy in all aspects of the case management process and coordinating care with the beneficiary and his/her provider to stabilize health status with the goal of maximizing his/her functional capacity and improving the overall quality of life.
• Facilitates, coordinates, integrates, and manages integrated case management and disease management activities based on the CMSA definition, philosophy, and guiding principles for case management.
• An integrated case management model is used (includes care coordination/case management and disease management) to assist the Funds in maintaining beneficiaries at their most optimal functional level.
• Provides in-home, in-person care coordination in defined areas of coal mine states and telephonic care coordination across the United States.
• Assesses, plans, implements and evaluates options and services to affect an appropriate, individualized plan for the beneficiary across the continuum of care.

Why us?
We are a team of experienced and caring leaders, clinicians, pioneering technologists, and industry professionals who come together to redefine expectations for the healthcare industry. State and federal healthcare agencies, providers, and employers turn to us as their vital partner to ensure better healthcare and improve health outcomes.
Singularly Focused. Mission Driven.
Accelerating Better Outcomes is our Mantra! We are mission-driven to innovate health solutions that deliver maximum value and impact.
We do this through our people.
You will have meaningful work that genuinely improves people's lives across the country. We are a company that cares about our employees, and we give you the tools and encouragement you need to achieve the finest work of your career.
Benefits are a key component of your rewards package. Our benefits are designed to provide you with additional protection, security, and support for both your career and your life away from work. Our benefits include comprehensive health plans, paid time off, retirement savings, corporate wellness, educational assistance, corporate discounts, and more.
What You’ll Do

• Conduct visits in the beneficiary’s home, to hospitals, nursing homes, and physicians’ offices as necessary to continue the plan of care and support transition.
• Ensure day-to-day processes are conducted in accordance with URAC and other regulatory standards.
• Seek consultation from physicians, specialists, pharmacists, and other disciplines as necessary to facilitate care to optimize beneficiary function or prevent further decline in health.
• Use independent nursing judgment and discretion to address, resolve, and process problems impeding the diagnostic or treatment progress, including medication set-up, blood pressure checks, pulse, temperature, and weight checks to support the home program.
• Develop beneficiary-centered care plans demonstrating shared accountability between beneficiaries, caregivers, and providers.
• Review the care plan and progress in regular care conferences, emphasize transitions to other programs, and teach self-management/family caregiver management of chronic conditions to optimize functions, improve health, prevent further decline, or remain in the community.
• Coordinate health and social services, coach the beneficiary and families, advocate for the beneficiary, educate the beneficiary and family, clarify and assist with physician’s care plans, and communicate status and plans among the care team and resources, as indicated.

The list of accountabilities is not intended to be all-inclusive and may be expanded to include other education- and experience-related duties that management may deem necessary from time to time.
What You’ll Need
Required Qualifications

• Unrestricted, active RN license.

Preferred Qualifications

• Certified Case Management (CCM) certification.
• Bachelor of Science in Nursing (BSN).

Knowledge, Skills, Abilities

• Maintain competency in basic physiological assessments that do not require a physician order, temperature, pulse, blood pressure, weight, and visual skin assessment.
• Ability to work independently and as part of a team.
• Ability to research/identify and apply appropriate standards of care.
• Must be proficient in Internet/Web Navigation and research.
• Demonstrated initiative and judgment in the performance of job responsibilities while maintaining professionalism, flexibility, and dependability under pressure.
• Interest in continuous learning and a commitment to staying informed on regulatory changes.
• Strong communication (written/verbal), interpersonal, organizational, time management, and communication skills with a strong focus on customer service, including building and maintaining relationships with internal/external customers and facilitating meetings.
• Must be proficient in the use of electronic medical record systems/electronic documentation and navigating multiple computer systems and applications.
• Ability to multi-task and prioritize with variable and sometimes conflicting deadlines; superior attention to detail and demonstrated ability in decision-making.

Required Experience

• 3+ years’ clinical experience with a minimum of 1 year of case management review experience.

Preferred Experience

• Public Health Nursing experience and geriatric nursing care.

Thank You!
We know your time is valuable, and we thank you for applying for this position. Due to the high volume of applicants, only those chosen to advance in our interview process will be contacted. We sincerely appreciate your interest in Acentra Health and invite you to apply to future openings that may be of interest. Best of luck in your search!
~ The Acentra Health Talent Acquisition Team
Mental And Physical Requirements
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations will be made as required by law in an attempt to enable an individual with a disability to perform the essential functions of this job. While performing the duties of this job, the employee is regularly required to sit for prolonged periods of time; key and/or control objects; interact extensively with internal and external customers; occasionally lift and/or move objects weighing up to 10 pounds; and occasionally travel within the state.
EOE AA M/F/Vet/Disability
Acentra Health 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, disability, status as a protected veteran, or any other status protected by applicable Federal, State, or Local law.