Registered Nurse / Case Manager (Remote)

Life at aptihealth The aptihealth team is comprised of health care, data science and technology experts passionate about transforming behavioral healthcare. aptihealth is a digital technology platform with an affiliated medical group that makes it easier for people to access speedy high quality mental health care at the right place and right time. The technology and provider group reach people who need care, connect, follow and demonstrate improved outcomes. Everything we do at aptihealth is centered on our mission to revolutionize care and to ensure that the millions of peoplea who need and deserve it have access to it. As a curious and collaborative teammate, someone excited about tackling the hard problems in healthcare and technology, you will play a key role in making that mission a reality. Together, we’ll create and innovate transformative behavioral healthcare – for millions of people.

What We Offer

• The opportunity to make life better for millions of people
• An environment of positive and super smart colleagues
• Turning innovative ideas into real-world results
• Investment in our employees
• Balancing extraordinary work with your personal life
• Encouraging curiosity and collaboration
• Priding ourselves in being diverse and inclusive

The Role The Registered Nurse Case Manager team at AptiHealth is pivotal to the success of our Case Management and Medication Management programs and provides a backbone of support to our patients and our providers. The RN Case Manager will assist with assessing patient case management needs and implementing case management care plans. Additionally, the RN Case Manager will assist with implementing providers’ orders, administer and coordinate medications, procedures and special tests, and document treatment as required by company policy and local/state/federal rules and regulations as directed by the Clinical Director. The RN Case Manager will order, interpret, and evaluate diagnostic tests to identify and assess patients' conditions. They will assess and evaluate patients' needs for, and responses to, care rendered. The RN Case Manager will also take live calls from patients calling into the front office with urgent medical/medication-related questions and triage these calls. This role will work closely with a multidisciplinary team within the AptiHealth Medical Group to provide high quality care to each AptiHealth patient.

Requirements

• Successful completion of an accredited nursing program, Bachelor’s degree preferred
• Currently licensed as a Registered Nurse in New York
• Current Certified Case Manager (CCM) certification preferred
• Experience in behavioral healthcare a plus
• Strong computer skills and experience with Electronic Medical Record systems
• Experience with Microsoft programs including Outlook and SharePoint Forms preferred
• Strong organizational skills
• Experience working with a multidisciplinary team

Responsibilities

• Complete Case Management Assessment and Case Management Care Plan
• Collaborate with care team to identify patients' needs and assist in development of plan to meet needs
• Document all patient interactions in care coordination note
• Triage incoming phone calls and electronic communications; providing information and direction to patients and escalating as necessary to the appropriate care team member
• Assist prescribers with medication prior authorization, coordination with pharmacy, medication refill requests, scheduling/rescheduling with assigned prescriber based on clinical need
• Review PMP and screen for controlled substance prescriptions
• Assess for appropriateness for virtual care upon review of PMP and communicate concerns to both therapist and Prescriber
• Assist with obtaining ROI for PCP and/or specialists, as indicated and coordinate patient care as required/requested by member’s prescriber
• Perform patient medical review and gather additional medical history information as necessary
• Enroll member in HIXNY upon obtaining consent
• Orient new patients to the patient experience and collect needed documentation and answer questions around AptiHealth’s Medication Management Program
• Care coordination with AptiHealth’s referring partners (e.g., PCP, MCO, specialists)
• Assess and evaluate patients' needs for, and response to, care and medication
• Provide referrals to community-based organizations to address gaps/needs and close the loop on referrals utilizing Unite Us, assisting with addressing social determinants of health (e.g., food insecurity, housing, benefits)
• Coordinate with internal and external care team members (e.g., PCP, medical specialists)

Job Type: Full-time / Hourly (40 hours/week) Location: Remote - NY Capital Region resident preferred Working Hours: Monday–Friday, 9 a.m.–5 p.m. Pay Range: $32-$40/hr The final pay-rate may vary based on qualifications and relevant experience.

Benefits

• Comprehensive Medical, Dental, and Vision plans available
• Paid Time off, Sick Time and Paid Comp

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