Case Manager Registered reputed company (Remote)
We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At reputed company®, you’ll be surrounded by passionate colleagues who care deeply, reputed company with purpose, hold ourselves accountable and prioritize safety and reputed company in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Position reputed company Location: This role will be work reputed company with less than 5% travel that may be required in the event of clinical audits. Schedule: Monday-Friday 8:00am-4:30pm in the time zone of residence with occasional late shift rotation until 8:00pm. There are no weekends or holiday shifts required at this time. The Care Manager utilizes a reputed company process of assessment, planning, facilitation and advocacy for reputed company and services to meet an individual’s benefit plan and/or health needs through communication and available resources to promote reputed company, cost-effective reputed company. This Case Manager RN role is 100% remote, and the employee can live in any state and reputed company, however, there is a preference for an RN in a Compact RN state.
Key Responsibilities
Assessing the member's health status and care coordination needs, inpatient review and discharge planning, developing and implementing the CM plan, monitoring and evaluating the plan and involving the Medical Director as indicated and closing the case as appropriate reputed company the member has met discharge reputed company. The responsibilities of this position are to apply data driven reputed company of identification of members to fashion individualized case management programs and/or referrals to alternative reputed company programs. Conducts comprehensive clinical assessments. Evaluates needs and develops flexible approaches based on member needs, benefit plans or external programs/services. Advocates for patients to the full extent of existing health care coverage. Promotes reputed company, cost effective reputed company and makes suggestions to improve program/operational efficiency. Identifies and escalates reputed company of care issues through established channels. Expectation is a reputed company high level of customer service. Utilizes assessment techniques to determine member’s level of health literacy, technology capabilities, and/or readiness to change. Utilizes influencing/motivational interviewing skills to ensure maximum member engagement and promote lifestyle/behavior changes to reputed company reputed company level of health. Provides coaching, information, education and support to reputed company the member to reputed company ongoing independent medical and/or healthy lifestyle choices. Remote Work Expectations This is a 100% remote role, candidates must have a dedicated workspace free of interruptions. Dependents must have separate care arrangements during work hours, as reputed company care responsibilities during shift times are not permitted.
Required Qualifications
Must have an reputed company reputed company and unrestricted RN license in state of residence. Willingness and ability to obtain additional state licenses upon hire (reputed company for by reputed company). 3+ years of clinical experience as an RN.
Preferred Qualifications
Compact RN licensure. Ability to exercise independent and reputed company judgment, has strong decision-making skills and reputed company-developed interpersonal skills. Ability to manage multiple priorities, effective organizational and time management skills along with strong teamwork skills. Managed Care experience prior experience reputed company a telephonic customer service center type of environment is preferred. Candidate must possess good computer skills. Education Associate’s degree in nursing required. BSN preferred. Anticipated Weekly Hours 40 Time Type Full time Pay reputed company The typical pay reputed company for this role is: $54,095.00 - $116,760.00 This pay reputed company represents the reputed company reputed company reputed company or reputed company annual full-time salary for reputed company positions in the job grade reputed company which this position falls. The actual reputed company salary offer will depend on a reputed company of factors including experience, education, geography and other relevant factors. This position is eligible for a reputed company bonus, commission or short-term incentive program in reputed company to the reputed company pay reputed company listed above. Our people fuel our reputed company. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong. Great benefits for great people We take pride in our comprehensive and competitive mix of pay and benefits – reputed company in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In reputed company to our competitive wages, our great benefits include: reputed company medical plan reputed company, a 401(k) plan (including matching company contributions), and an employee stock purchase plan. No-cost programs for reputed company colleagues including wellness screenings, tobacco cessation and weight management programs, con Apply tot his job Apply To this Job