Case Manager RN | Remote nursing jobs

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Requisition Job Description

 

Position Summary:

This RN Case Manager position is 100% remote and candidates can apply from any state.

 

The RN Case Manager is responsible for telephonically and/or face to face assessing, planning, implementing, and coordinating all case management activities with members to evaluate the medical needs of the member to facilitate overall wellness.

 

RN Case Manager:

– Collaboratively develops a proactive course of action to address issues presented to enhance the short and long-term outcomes as well as opportunities to enhance a member’s overall wellness through integration.

– Through the use of clinical tools and information/data review (e.g., assessments, claims, etc.) evaluates member’s needs and available benefits to collaborate and refer to programs offered by the plan sponsor.

– Applies clinical judgment to reduce risk factors, address complex health issues and social indicators.

– Utilizes case management processes in compliance with regulatory and company policies and procedures.

– Utilizes interviewing skills to ensure maximum member engagement and discern their health status and health needs based on key questions and conversations.

 

Required Qualifications:

– Must have an active current and unrestricted RN license in state of residence. If located within the Nurse Licensure Compact jurisdiction, the ability to use their compact license without restriction

– Willingness and ability to obtain additional state licenses upon hire (paid for by the company)

– 3+ years of acute care clinical experience as an RN (general medical, post-surgical, specialty including pediatrics, ICU, case management and discharge planning)

– Ability to use a computer station with multiple screens, operate multiple programs simultaneously, and sit for extended periods of time

– A private designated workspace free of distractions and high-speed internet

– Must be able to work Monday through Friday 9am-5:30pm in time zone of residence.

– Weekends and holidays may be required per the needs of the department.

– Less than 5% travel may be required for on-site meetings, trainings, or system updates, or to meet licensure requirements e.g., finger printing.

 

Preferred Qualifications:

– Compact RN licensure

– 1+ years of case management experience

– Certified Case Manager (CCM) certification

– Strong customer service skills including attention to customers, sensitivity to certain issues and proactive identification/resolution of issues.

– Experience with all types of Microsoft Office including PowerPoint, Excel, and Word

– Strong telephonic communication skills

– 1+ years of experience utilizing computers and navigating multiple monitors while speaking with someone on the telephone.

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