Nurse Case Manager / URN I - Temporary

About the role

The Nurse Case Manager/Utilization Review Nurse role is to perform in-person/virtual clinical eligibility assessments and utilization review for Vermont's Long-term Care Medicaid Choices for Care program, Brian Injury program, Attendant Services program and for the Adult High Technology Program. This position is based in Burlington and will include regular travel to neighboring counties.

Responsibilities

• Perform in-person/virtual clinical eligibility assessments and utilization reviews for various long-term care programs.
• Provide support to clients and caregivers in navigating the complex healthcare system.
• Ensure compliance with state and federal regulations regarding long-term care services.
• Collaborate with interdisciplinary teams to develop and implement care plans.
• Conduct regular follow-ups with clients to monitor progress and adjust care plans as necessary.
• Participate in ongoing training and professional development opportunities to enhance skills and knowledge.

Requirements

• Possession of or eligibility for licensure as a Registered Nurse RN in Vermont OR eligible to practice in the state of Vermont via a multi-state license.
• Three (3) years or more of professional nursing experience in an acute hospital setting, long term care, health insurance carrier, or within a community health/public health setting.
• Reliable means of personal transportation is required for work out of the office or in the community and field based settings.

Qualifications

• Bachelor of Science in Nursing BSN (preferred).

Skills

• Strong communication and interpersonal skills.
• Ability to work independently and as part of a team.
• Proficiency in Microsoft Office Suite.
• Knowledge of Medicaid and long-term care programs.

Benefits

Details on benefits are not provided in the given job posting.

Pay

Details on pay are not provided in the given job posting.

Schedule

Details on schedule are not provided in the given job posting.