Job Title: RN Case Manager

Location: Washington, DC

Hybrid role: 1-2 days in office, remaining days remote. Typically 3 field visits a week (Can schedule these how you would like to)

FLEXIBLE schedule Mon-Fri, standard hours - will manage your own schedule.

Typical Case Management - will be taking care of enrollees in DC Medicaid - much of whom also have behavioral health issues and poor social determinants of health

Care Managers will start off each patient with needs assessment - identify where they are at, assign them acuity level between 1-3. This will decide what level case manager they will be assigned to and how frequently the Care Manager will need to be in contact with them.

What does the caseload look like?

• Standard RN's will have a caseload of level 1, 2 and 3 acuity patients which will have a total of 75 patients.
• RN's that have a more advanced understanding of Case Management will be tasked as specialty Case Managers and will take a caseload of 60 individuals total, that have very complex needs at level 3 acuity.
• Medicaid patients with Socio-economic struggles as well
• Will work with enrollees and families to break down barriers
• Have a standard of 3 care plans or assessments done per week (Which means 3 field visit days a week - in office 2 days to wrap up documentation.) - Sounds like, for now, field visits count for in office days but will update if changes from DC Medicaid.
• Will get list of enrollees well child visits and it is encouraged for the CM to attend (Help to support and update care plan)
• Team is set up based on who primary care doctor is so that the CM will be able to create a relationship with the provider and best provide support to the Member.

Skills/Qualifications:

• DC RN License
• Ideally Have 2 years of Case Management experience

Nice to Have Skills

• 5 years of experience
• Health plan experience
• Pediatric experience
• Experience with Medicaid Members

Pay: $42-46/hr