Lead Case Manager RN - (Remote/West Virginia) - Must Reside within WV

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.

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 additional protection, security, and support for both your career and your life away from work. We offer competitive salaries/pay, fantastic benefits including comprehensive health plans, paid time off, retirement savings, corporate wellness, educational assistance, corporate discounts and more.

Position Overview

The Care/Case Management (CM) Lead is responsible for the development of staff, criteria, guidelines for systems to effectively operate a comprehensive Care/Case Management Program. Provides leadership and supervision to Care/Case Managers in the Medical and Behavioral Health staff of Charleston, West Virginia office for Acentra Health. Assesses needs and plans, communicates, and designs services that are appropriate for the West Virginia Fee For Service Members and Providers.

Job Responsibilities

• Assessing, planning, implementing, monitoring, and evaluating actions required to meet the client’s health and human services needed. Integrates and coordinates services using continuous quality improvement tools such as Audits for the CM team.
• Use of Social Determinants of Health (SDOH), any additional CM resources available, and the Atrezzo system.
• Coordinate and provide care that is safe, timely, effective, efficient, equitable, and client-centered goal planning by developing individual care plans.
• Handle case assignments, draft service plans, review case progress and determine case closure through discharge planning with CM Team.
• Develop effective working relations and cooperate with medical team throughout the entire case management process. Arrange abeyances with social services, health, and governmental agencies.
• Record cases information, complete accurately all necessary forms and produce statistical reports. Promote quality and cost-effective interventions and outcomes.
• Will be accountable for the full patient care cycle.

Required Qualifications Experience and Skills

• Minimum of 5 years postgraduate of an accredited school of nursing and currently licensed as a Registered Nurse in the state of West Virginia.
• Preferred to have Supervisory or Leadership Management
• Preferred to have a minimum of 5 years’ experience in Case Management position.
• Must have analytical ability for problem identification, assessment, and review of data/statistics obtained from on-going Case Management process.
• Certification in Case Management and BSN preferred.
• Effective and compassionate communication skills.
• Excellent organizational and time management skills.
• Familiarity with professional and technical emerging knowledge.
• Problem solving skills and ability to multi-task.
• Strong computer skills, knowledge and navigational skills.
• While this position offers flexibility with remote work, individuals must be based and reside within 50 miles of the West Virginia border.

We know your time is valuable and we thank you for applying for this position. Due to the high volume of applicants, only those who are 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

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.

Requirements