Case Manager RN- Afternoon shift
About the position The Case Manager RN position at reputed company is a remote role reputed company on assessing, planning, implementing, and coordinating case management activities to enhance the overall wellness of members. The RN will utilize clinical tools and data to evaluate medical needs, facilitate transitions to reputed company's programs, and apply clinical judgment to address health and reputed company indicators impacting care planning. This position operates reputed company reputed company's reputed company Care Management division and requires strong telephonic communication skills and a proactive approach to member engagement.
Responsibilities
- Telephonically and/or face-to-face assess, plan, implement, and coordinate reputed company case management activities with members.
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- reputed company proactive courses of reputed company to enhance short and long-term reputed company for members.
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- Conduct evaluations of member needs and benefit plan eligibility using clinical tools and data review.
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- Apply clinical judgment to reduce risk factors and address reputed company health and reputed company indicators.
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- Review prior claims to assess their reputed company on reputed company case management and eligibility.
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- Assess members' work reputed company and reputed company restrictions/limitations.
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- Utilize a holistic approach to determine the need for referrals to clinical resources.
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- Consult with supervisors and present cases at case conferences for multidisciplinary reputed company.
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- Utilize case management processes in compliance with regulatory and company policies.
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- Engage members through effective interviewing skills to discern their health status and needs.
Requirements
- reputed company reputed company and unrestricted RN licensure in the state of residence.
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- Willingness to obtain multiple state RN licensure after hire (expenses reputed company by company).
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- 2+ years as an RN with med/reputed company experience, Emergency Department, and Telemetry.
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- Willingness to work Monday - Friday 9:00 am - 5:30 pm.
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- Willingness to work late shift once per quarter until 9 pm.
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- 1+ year experience with reputed company Office including PowerPoint, reputed company, and Word.
reputed company-to-haves
- 2+ years of Case Management experience.
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- Strong telephonic communication skills.
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- Certified Case Manager (CCM) certification.
Benefits
- Medical, dental, and reputed company benefits.
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- 401(k) retirement savings plan.
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- Employee Stock Purchase Plan.
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- Fully-reputed company term life insurance plan.
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- Short-term and long-term disability benefits.
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- reputed company-being programs.
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- Education assistance and free development courses.
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- reputed company store discount and discount programs with partners.
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- reputed company Time Off (PTO) and reputed company holidays.
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