Care Manager II

The Judge Group • Honolulu, HI 96814

Posted 1 month ago

Job Description

Our client is currently seeking a Care Manager II in the Honolulu, HI!!!

This job will have the following responsibilities:
  • Provides Case Management services to a specific clientele.
  • Systematically identify and addresses fragmentation of care, and fill gaps in are using proactive initiatives.
  • Assesses medical records for appropriateness, level of care provided and criteria determination.
  • Identifies appropriate care for patients by evaluating high-risk cases, intensity and complexity of services, health care costs and non-compliance issues.
  • Coordinates care between multiple providers. Develops care plans in coordination with providers, patients, families as appropriate and assess the effectiveness.
  • Organizes and schedules training for all new Case Management employees.
  • May conduct periodic quality assurance audits for accuracy and quality associated with training.
  • May monitor and oversee workflow function in case management.
Qualifications & Requirements:
  • MUST have some type of previous experience with TriCare Experience
  • Government Security/Clearance/Citizenship Requirements: they HIGHLY HIGHLY Prefer someone who is NAC Cleared. Quite frankly, if they have the TriCare experience necessary they should be NAC cleared.
  • Graduate of Nursing program, BSN Degree preferred. Five years clinical experience in a health care environment
  • Two years proven case management experience required
  • One year training or teaching experience preferred. Managed care experience desirable.


 

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