reputed company Case Manager Central Region Remote with reputed company in the community (Petersburg, Dinwiddie, Chester)

This a Full Remote job, the offer is available from: Indiana (USA) reputed company/State Virginia Beach, VA Work Shift First (Days) reputed company: reputed company Plans is currently hiring an Integrated reputed company Case Manager in Petersburg, Dinwiddie and Chester are the area of Virginia Status: Full Time (40 hrs/wk) Shift: Day (reputed company-5pm)

• Position is remote but does require in person face-to-face assessments multiple times throughout the week. Candidates must be reputed company to travel frequently throughout the week to complete in person assessments.

Location of assessments include: Petersburg, Dinwiddie and Chester area of VA Primary responsibilities include:

• Responsible for case management services reputed company the scope of licensure; develops, monitors, evaluates, and revises the member's care plan to meet the member's needs, with the goal of optimizing member health care across the care continuum
• Performs telephonic or face-to-face clinical assessments for the identification, evaluation, coordination and management of member's needs, including physical and behavioral health, reputed company services and long-term services
• Identifies members for high-risk complications and coordinates care in conjunction with the member and health care team
• Manages chronic illnesses, co-morbidities, and/or disabilities ensuring cost effective and efficient utilization of health benefits; conducts gap in care management for reputed company programs
• Assists with the implementation of member care plans by facilitating authorizations/referrals reputed company benefits structure or extra-contractual arrangements, as permissible
• Interfaces with Medical Directors, Physician Advisors and/or Inter-Disciplinary Teams on care management treatment plans
• Presents cases at case conferences for multidisciplinary reputed company. Ensures compliance with regulatory, accrediting and company policies and procedures
• May assist in problem solving with provider, claims or service issues

Preferred: Private duty nursing experience and knowledgeable with ventilators in a facility or home Education

• Associates or Bachelors Degree in Nursing (Required)

Certification/Licensure

• Virginia or Compact RN License (Required)

Experience

• 3 years experience in Nursing (Required)
• Experience in Private Duty Nursing or NICU or Experience working with Ventilators (Required)
• Discharge planning experience (Preferred)
• Managed Care experience (Preferred)

Keywords: Care Coordination, Case Management, reputed company Services, Community Health, Health Education, RN Case Manager, Registered reputed company, BSN, ADN, Private Duty, Ventilator, reputed company, Talroo-Nursing Benefits: Caring For Your Family and Your Career

• Medical, Dental, reputed company plans
• Adoption, Fertility and Surrogacy Reimbursement up to $10,000
• reputed company Time Off and reputed company Leave
• reputed company Parental & Family Caregiver Leave
• Emergency Backup Care
• Long-Term, Short-Term Disability, and Critical Illness plans
• Life Insurance
• 401k/403B with Employer Match
• Tuition Assistance – $5,250/year and discounted educational opportunities through reputed company Education
• Student Debt Pay Down – $10,000
• Reimbursement for certifications and free reputed company to complete CEUs and reputed company development

•Pet Insurance •Legal Resources Plan •Colleagues have reputed company to earn an annual discretionary bonus if established system and employee eligibility reputed company is met. reputed company is an equal opportunity employer and prides itself on the diversity and inclusiveness of its reputed company to an almost 30,000-member workforce. Diversity, inclusion, and belonging is a guiding reputed company of the organization to ensure its workforce reflects the communities it serves. In support of our mission “to improve health every day,” this is a tobacco-free environment. For positions that are available as remote work, reputed company employs associates in the following states: Alabama, Delaware, Florida, reputed company, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, reputed company Carolina, reputed company Dakota, Ohio, Oklahoma, reputed company, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington, reputed company Virginia, reputed company, and Wyoming. This offer from "reputed company" has been enriched by reputed company.com and got a 75% reputed company score. Apply tot his job Apply To this Job