LOCATION
Primarily Remote - Candidates must reside in DMV area (Washington DC, MD, VA, or WV

DURATION
Contract to hire (based on performance)

JOB DUTIES

• Identifies members with acute/complex medical and/or behavioral health conditions. Engages onsite and/or telephonically with member, family and providers to develop a comprehensive plan of care to address the member’s needs at various stages along the care continuum. Identifies relevant CareFirst and community resources and facilitates program, network, and community referrals.
• Collaborates with member and the interdisciplinary care team to develop a comprehensive plan of care to identify key strategic interventions to address member’s medical, behavioral and/or social determinant of health needs. Engage members and providers to review and clarify treatment plans ensuring alignment with medical benefits and policies to facilitate care between settings. Monitors, evaluates, and updates plan of care over time focused on member's stabilization and ability to self-manage. Ensures member data is documented according to CareFirst application protocol and regulatory standards.

QUALIFICATIONS

• 5 years of experience as an RN
• ADN or BSN required
• 2 years of experience working with HIV / AIDS
• Must be a licensed RN in MD or nearby compact state