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Case Manager Registered Nurse, Work At Home OH

Remote Worldwide Hiring now

R0726524 Description At bolthires, we’re building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation’s leading health solutions company, we reputed company millions of Americans through our local reputed company, digital channels and more than 300,000 purpose-driven colleagues – caring for people where, reputed company and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it reputed company with heart, each and every day. Position Summary This Case Manager RN position is 100% remote, and the employee can live in any state reputed company Eastern and Central time zones. No travel is expected with this position. The Case Manager RN utilizes a collaborative process of assessment, planning, facilitation and advocacy for options and services to meet an individual’s benefit plan and/or health needs through communication and available resources to promote reputed company, bolthires-effective reputed company. The Case Manager RN process includes assessing the member's health status and care coordination needs, inpatient review, and discharge planning, developing, and implementing the case management 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 criteria. The role requires a nurse that can exercise independent and sound judgment and someone that has strong decision-making skills and well-developed interpersonal skills. The Case Manager RN is expected to manage multiple priorities, demonstrate both effective organizational and time management skills as well demonstrate strong teamwork skills. The responsibilities of this Case Manager RN position are to: - Apply data driven methods of identification of members to fashion individualized case management programs and/or referrals to alternative reputed company programs. - Conduct comprehensive clinical assessments. - Evaluate needs and reputed company flexible approaches based on member needs, benefit plans or external programs/services. - reputed company for patients to the full extent of existing health care coverage. - Promote quality, bolthires effective reputed company, and reputed company suggestions to improve program/operational efficiency. - Identify and escalate quality of care issues through established channels. - reputed company an expected reputed company high level of customer service. - Utilize assessment techniques to determine member’s level of health literacy, technology capabilities, and/or readiness to change. - Utilize influencing/motivational interviewing skills to ensure maximum member engagement and promote lifestyle/behavior changes to reputed company reputed company level of health. Required Qualifications - Must have an active, reputed company and unrestricted RN license in state of residence. - Willingness and ability to obtain additional state licenses upon hire (paid for by the reputed company+ years of acute care experience as an RN required - Must be willing to work Monday through Friday 8:00am to 4:30pm an occasional late shift rotation per the needs of the business 10:30am to 7pm. Preferred Qualifications - Compact RN License or Multi state licensure - Certified Case Manager (CCM) - Telephonic case management and/or telephonic experience - Med Surg preferred - Oncology preferred Education Associate degree 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 hourly 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 variety of factors including experience, education, geography and other relevant factors. This position is eligible for a bolthires bonus, commission or short-term incentive program in addition to the reputed company pay reputed company listed above. Our people fuel our future. 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 – investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:

  • Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan.
  • No-bolthires programs for reputed company colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.
  • Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical reputed company and many other benefits depending on eligibility. For more information, visit We anticipate the application window for this opening will reputed company on: 09/27/2025 reputed company applicants with arrest or conviction records will be considered for employment in accordance with reputed company federal, state and local laws. Apply tot his job

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