Registered Nurse / Case Manager (Remote)

Life at aptihealth

Backed by $70M in funding from world-class investors including Takeda Digital Ventures, Pivotal Life Sciences and Vista, 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
• Flexible working hours and lots of freedom in your work habits

Your 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.

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)

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

Benefits

• Comprehensive Medical, Dental, and Vision plans available
• Paid Time off, Sick Time and Paid Company Holidays
• 401k Retirement Savings Program with 2% Company matching
• Voluntary Life Insurance
• Employee Assistant Program (EAP)
• Competitive Salary
• Work from home

The expected full-time salary range for this role is $67,000 - $85,000 annually and is dependent on a variety of factors, including qualifications and years of experience. More information about the salary range specific to your experience and other factors will be shared during the hiring process.

About aptihealth

aptihealth, inc. is a behavioral health engagement company that seamlessly integrates physical and behavioral healthcare. Our platform connects medical providers, behavioral health specialists and patients with our proprietary assessment and treatment management protocols to get and keep patients healthier faster. aptihealth’s structured therapy programs are centered on its proprietary 15 Life Domain Clinical Framework© that efficiently provides collaborative care teams with the most thorough understanding of a patient’s behavioral health needs. The aptihealth platform connects patients and their care teams with licensed behavioral health specialists who provide 90-day and extended care therapy by phone or video supported by an easy-to-use consumer friendly digital experience. The aptihealth program is evidenced to get individuals into therapy faster and clinically proven to improve both behavioral and medical outcomes while lowering overall cost.

At aptihealth, we don’t just accept difference—we celebrate it, we support it, and we thrive on it for the benefit of our employees, products and community. aptihealth is proud to be an equal opportunity workplace and is an affirmative action employer. We are committed to equal employment opportunity regardless of race, color, ancestry, religion, sex, national origin, sexual orientation, age, citizenship, marital status, disability, gender identity or Veteran status. If you have a disability or special need that requires accommodation, please let us know by contacting us.

To all recruitment agencies: aptihealth does not accept agency resumes. Please do not forward resumes to us, our employees or any other organization location. aptihealth is not responsible for any fees related to unsolicited resumes.

For more information, please visit www.aptihealth.com

aptihealth, inc.
268 Broadway, Suite 101
Saratoga Springs, NY 12866