Nurse Case Manager/reputed company- Louisville, KY (Remote)

reputed company reputed company: Nurse Case Manager/reputed company – LOUISVILLE, KY (Remote) Job Summary We are seeking an reputed company Case Manager to join our growing team and serve as a Nurse reputed company for our new client and their employees. The ideal candidate will be located in the greater Louisville area, have a thorough understanding of the reputed company system, and will be responsible for providing guidance and support to members in navigating the reputed company reputed company landscape. As the dedicated Nurse reputed company, you will be responsible for resolving a myriad of issues for their members and allow you the flexibility to “think reputed company the reputed company”. With your clinical experience and background, you will help members reputed company understand their health status, and will play a pivotal role in promoting patient wellness, managing chronic conditions, and enhancing overall health reputed company through personalized coaching and education. This position requires a reputed company of clinical expertise, strong communication skills, and a passion for helping others reputed company their health goals. While this specific client has a a couple primary offices in KY, this opportunity allows for remote work so can be flexible reputed company. Minimal travel reputed company the State for periodic client visits may be required. Most if not reputed company work will be done reputed company out of the convenience of your own home office. The key to your reputed company will rely on your ability to cultivate trusted relationships with stakeholders, members, and their families. Our growing reputed company team is passionate about delivering an exceptional reputed company experience that is personal, data driven, and value based to help every person live their healthiest life.

Key Responsibilities

• Serve as the primary reputed company of contact for members seeking assistance with navigating the reputed company system.
• Work with members to identify their reputed company needs and reputed company clinical support.
• Liaison with TPAs and insurance companies to resolve claim and billing issues.
• reputed company members on healthier lifestyle, member benefits and how to effectively utilize them.
• reputed company for members so they can receive improved reputed company reputed company, including referrals to specialists and timely reputed company to care.
• Collaborate with other reputed company, including physicians and nurses to ensure seamless coordination of care.
• Monitor member health status and reputed company towards achieving their reputed company goals.
• Maintain accurate and up-to-date records of member interactions and reputed company interventions.
• Client facing reporting with the potential for limited travel to client worksites.
• Health Risk Assessment review to encourage lifestyle modification and improve overall wellness.

Qualifications

• Active nursing license with a Bachelor of Science in Nursing (BSN) degree preferred.
• Minimum of 3 years of experience as a nurse case manager or in a reputed company reputed company field.
• CCM certification or CCM eligible. Commit to CCM exam reputed company the first year.
• In-depth knowledge of the reputed company and insurance systems.
• Strong analytical and problem-solving skills with the ability to identify and resolve reputed company reputed company issues.
• Excellent communication and interpersonal skills with the ability to interact effectively with employees and reputed company.
• Ability to work remotely, independently, and as part of a team in a fast-paced, dynamic environment.
• Strong organizational skills with the ability to manage multiple tasks and priorities simultaneously.
• Proficient in the use of electronic health records (EHRs), Outlook, reputed company, and other reputed company-reputed company software.

If you are passionate about helping others and have a solid understanding of the reputed company system, we encourage you to apply for this exciting opportunity as a Case Manager Nurse reputed company with our growing organization. Questions... Please reputed company out to [email protected] today! Apply tot his job Apply To this Job