the smart solution for Harrisburg jobs

Care Manager - RN, Chronic Pain Management (Harrisburg, PA)

Company: Magellan Health
Location: Harrisburg
Posted on: September 11, 2018

Job Description:

Responsible for the assessment, reassessment, care planning and coordination of care and services for members enrolled in the Chronic Pain Management Program. Includes ongoing monitoring of an appropriate and effective person centered care plan, member education and care management. Regularly communicates with the member's Primary Care Physician (PCP) and other providers, and integrates the member, caregiver and other provider feedback into the assessment and planning.

  • Completes relevant screening and assessment tools to determine member readiness, level of risk and need for chronic pain case management.
  • Develops, implements and monitors the individualized Chronic Pain Plan, with specific, quantifiable goals and desired outcomes for members who meet criteria for intensive chronic pain case management.
  • Manages case load, including risk stratification of members, monitoring reassessment needs and facilitating linkage with appropriate services and resources when the member's level of chronic pain risk/need changes.
  • Serves as the primary point of member contact. Assesses member needs, manages care and services, and ensures effective communication among members, caregivers, providers and community supports.
  • Provides members with information and referral for alternative and complementary care, as needed and as provided in the member's benefit plan.
  • Follows guidelines of the Chronic Pain Case Management Program with respect to engagement, enrollment, case management activities, and discharge.
  • Maintains timely, complete and accurate documentation using both hard copy and technology-based solutions in compliance with regulatory policies and procedures.
  • Gathers and summarizes data for reports.
  • Supports initiatives of the Quality Assessment and Performance Improvement Committee.
  • Other duties as assigned. General Job Information Title Care Manager - RN, Chronic Pain Management (Harrisburg, PA)Grade23 Job Family Clinical Services Group Country United States of America FLSA Status United States of America (Exempt) Recruiting Start Date 8/29/2018 Date Requisition Created 8/29/2018 Minimum Qualifications Education Associates Nursing--&& Bachelors Nursing License and Certifications - Required PMC - Pain Management Certification - Care Mgmt, RN - Registered Nurse, State and/or Compact State Licensure - Care Mgmt License and Certifications - Preferred CCM - Certified Case Manager - Care Mgmt, CCP - Chronic Care Professional - Care Mgmt Other Job Requirements Responsibilities
    • Integrated medical and behavioral health experience preferred, including appropriate support services in the community and accessing alternative and complementary services, such as acupuncture, chiropractic, and therapeutic massage.
    • Experience in utilization review, concurrent review and/or risk management a plus.
    • Bi/Multilingual.
      • Minimum 3 years clinical experience with focus in managed care, including chronic pain management and medical/mental health issues associated with chronic pain.
      • Pain Management Certification (PMC) must be obtained within 2 years of hire date.
      • Understands and is able to apply principals of Care Management and Person Centered Service Planning.
      • Ability to apply Chronic Pain Management Program guidelines.
      • Ability to understand and apply coverage guidelines and benefit limitations.
      • Familiar with clinical needs and disease processes for chronic pain and co-occurring physical and behavioral illnesses.
      • Understands and adapts appropriately to issues related to communication, cognitive or other barriers.
      • Experience and ability to use Motivational Interviewing best practice approach.
      • Ability to lead an interdisciplinary care team.
      • Strong organizational skills and the ability to prioritize and follow through on multiple projects in a timely manner. Magellan Health Services is proud to be an Equal Opportunity Employer and a Tobacco-free workplace. EOE/M/F/Vet/Disabled

        Keywords: Magellan Health, Harrisburg , Care Manager - RN, Chronic Pain Management (Harrisburg, PA), Executive , Harrisburg, Pennsylvania

        Click here to apply!

        Didn't find what you're looking for? Search again!

        I'm looking for
        in category

Other Executive Jobs

Senior Marketing Manager
Description: Company Background: Aziyo Biologics is a fully integrated, commercially oriented regenerative medicine company. Since its founding in 2015 the company has expanded through acquisitions and strategic partnerships, (more...)
Company: Aziyo Biologics, Inc.
Location: Silver Spring
Posted on: 09/23/2018

Defense Management Analyst (Pentagon)
Description: Responsibilities/Qualification br br br This opportunity is to support the OSD Joint Assessment Enabling Capability JAEC office. The employee requires a combination of program advisory and mission (more...)
Company: Alion Science and Technology
Location: Arlington
Posted on: 09/23/2018

Nurse Case Manager - 1+ Year Nurse Case Management REQUIRED
Description: trustaff is currently seeking an experienced Nurse Case Manager RN for a 13-week travel contract.RN Case Managers are registered nurses who develop, implement, and evaluate individualized patient care (more...)
Company: Trustaff
Location: Parkville
Posted on: 09/23/2018

Travel Nurse (RN) - Case Manager (Case Management) - 8 Weeks
Description: This is a 8 week travel RN Nurse - Case Management Case Manager assignment in Baltimore, MD. Don't miss this exciting Utilization Review travel Registered Nurse job opportunity At Cirrus, you can (more...)
Company: Cirrus Medical Staffing
Location: Baltimore
Posted on: 09/23/2018

Controls Advisory IT, Manager
Description: Grant Thornton is collaborative, entrepreneurial and on the move. As part of a dynamic global organization of 47,000 people serving clients in more than 140 countries, we have the agility and focus it (more...)
Company: Grant Thornton
Location: Arlington
Posted on: 09/23/2018

Technical Project Manager
Description: br We are seeking a Project Manager in Springfield, VA. br br br br Responsibilities br br br br br br ul br li Plan, execute, and close projects that meet or exceed customer (more...)
Company: Peraton
Location: Springfield
Posted on: 09/23/2018

Shift Manager
Description: ABOUT YOUYou are the face of Noodles Company, and we must admit, you look great. You are always smiling, always doing more, always making our guests feel like family. You have a keen eye and your work (more...)
Company: Noodles & Company
Location: Lanham
Posted on: 09/25/2018

11B Infantryman - Management Training
Description: Discipline. Loyalty. Experience. Every employer wants someone with these qualities because these are the people who become leaders. And those are exactly the qualities you'll develop as a Soldier in the (more...)
Company: Army National Guard
Location: Glen Burnie
Posted on: 09/23/2018

Learning and Development Manager (Call Center Training)
Description: Position SummaryThe Manager, Group Learning Services GLS provides oversight and leadership in the development and maintenance of new and existing training programs for contact centers in our Group and (more...)
Company: Guardian Life
Location: Bethlehem
Posted on: 09/23/2018

Description: Company OverviewDollar General NYSE: DG is a Fortune 200 company with more than 15,000 retail locations in 44 states, 15 distribution centers and 130,000 employees that embody our mission of Serving (more...)
Company: Dollar General
Location: Allentown
Posted on: 09/23/2018

Log In or Create An Account

Find us on Facebook

Find us on LinkedIn

Get the latest Pennsylvania jobs by following @recnetPA on Twitter!

Harrisburg RSS job feeds