Note: The job is a remote job and is open to candidates in USA. Point C is a National third-party administrator (TPA) that delivers customized self-funded benefit programs. They are seeking a compassionate and detail-oriented Case Management Nurse to serve as a critical liaison between patients, providers, care teams, and community resources, ensuring continuity of care and adherence to treatment plans.
Responsibilities
- Create and promote adherence to treatment plans, as developed by patients’ healthcare providers
- Create and maintain accurate, detailed clinical patient reports for clients and carriers
- Monitor and document adherence to treatment plans, evaluate effectiveness, monitor patient progress in a timely manner
- Increase continuity of care by managing relationships with tertiary care providers, transitions-in-care, and referrals
- Increase patients’ ability for self-management and shared decision making
- Increase comprehension through culturally and linguistically appropriate education
- Assist with medication reconciliation
- Connect patients to relevant community resources, with the goal of enhancing patient health and wellbeing
- Serve as the contact point, advocate, and informational resource for patients, care team, family/caregiver(s), stop-loss carrier, and community resources
- Assess a patient’s unmet health and social needs
- Acknowledges patient’s right on confidentiality issues, always maintains patient confidentiality and follows HIPAA guidelines and regulations
Skills
- Current standing as a registered nurse (RN) or licensed practical nurse (LPN) required
- 5 years of experience in a clinical or community resource setting/care coordination required
- 2 years of case management experience required
- Highly organized with ability to keep accurate notes and records
- Evidence of essential leadership, communication, education and counseling skills
- Proficient computing skills and the ability to learn new systems
- Exemplary telecommunication skills
- Maintains high level of professionalism and confidentiality
Benefits
- Comprehensive medical, dental, vision, and life insurance coverage
- 401(k) retirement plan with employer match
- Health Savings Account (HSA) & Flexible Spending Accounts (FSAs)
- Paid time off (PTO) and disability leave
- Employee Assistance Program (EAP)
Company Overview
Point C is a network of self-insured healthcare plan third-party administrators. It was founded in 2020, and is headquartered in Chicago, Illinois, USA, with a workforce of 501-1000 employees. Its website is https://www.pointchealth.com.
