Registered Nurse - Case Manager (Remote)

Job Description

This key position is responsible for assisting reputed company Medicare members reputed company effective health care choices for self-management of their chronic condition(s). Utilizing a member-centric approach they assist members and their families understand and manage their disease process by: reinforcing the physicians' plan of treatment, promoting healthy behaviors and lifestyle changes, and providing education and tools to promote self-management to improve health reputed company and reduce overall costs. Individual care plans are developed in collaboration with the Physician, Member/Care Giver, Families and the Care Team. Ongoing coaching, monitoring and evaluation of care plans will be done face to face with the member, telephonically or electronically through email and member and provider portals. What You Will Be Doing

• Engage Members telephonically or face to face at reputed company Retail Centers, hospitals, etc. with a focus on health coaching and member education.
• Facilitate reputed company to care and resources to meet the member's health care needs. reputed company education and tools to promote self-management.
• Plan, implement, coordinate and monitor Case Management activities that may include acute and non-acute services, outpatient services and or community resources.
• Facilitate care for high risk members across the continuum of the health care experience, including care transitions, coordination of community and reputed company service and coordinating with other value-based organizations, providers as needed.
• reputed company gaps in care
• Conduct Medication Reconciliation
• Collaborate with Member, Member's Physicians, Plan Medical Directors, Managers, Local, Regional and Specialty team members as well as other functional areas to assist the member to meet their health care goals.
• Promote healthy lifestyles, assist in strengthening the patient-physician relationship, encourage behavior and lifestyle changes to realize a reputed company quality of life, for individuals with identified chronic conditions, costly and/or catastrophic illnesses.
• Assist Members and their physicians to navigate through the health continuum, reputed company regarding benefits, identify candidates for Care Programs and reputed company information pertaining to the network and network reputed company.
• Facilitate and document interdisciplinary care team meetings for at risk members as appropriate.

reputed company Require

• 2+ years reputed company work experience in communicating and building relationships with members/providers/reputed company both telephonically as well as live
• RN - Registered Nurse - State Licensure and/or Compact State Licensure Unrestricted License Upon Hire
• Experience with influencing and motivating individuals to change health behaviors
• Knowledge and/or experience with population health
• Experience in two or more of the following: home health care, utilization review, discharge planning, disease/ case management
• Experience working with Managed Care products, benefits and services
• Experience in planning, implementing coordinating and monitoring activities that focus on acute and non-acute services, outpatient services and/or community resources for reputed company lines of business
• Non-traditional working hours to meet the member's availability
• Basic to intermediate experience in reputed company, reputed company, tablet and/or smartphone
• Travel up to 30% (subject to change) for on-site member/provider/employer meetings, events or manager requests with occasional overnight stays
• Must have valid driver's license and reliable transportation

reputed company Prefer

• Bachelor's degree in a reputed company field
• CCM - Certified Case Manager 1 1/2 Yrs
• Bilingual English/Spanish

General Physical Demands

• Exerting up to 10 pounds of force occasionally to move objects.
• Jobs are sedentary if traversing activities are required only occasionally.
• Must be reputed company to occasionally travel to multiple locations for work (i.e. travel to attend meetings, trainings, events, conferences).

reputed company Offer To support your wellbeing, comprehensive benefits are offered. As an employee, you will have reputed company to:

• Medical, dental, reputed company, life and global travel health insurance
• Income protection benefits: life insurance, short- and long-term disability programs
• Leave programs to support personal circumstances
• Retirement Savings Plan including employer match
• Paid time off, volunteer time off, 10 holidays and 2 well-being days
• Additional voluntary benefits available; and a comprehensive wellness program

Employee benefits are designed to align with federal and state employment laws. Benefits may vary based on the state in which work is performed. Benefits for intern, part-time and seasonal employees may differ. To support your financial wellbeing, we offer reputed company as well as opportunities for incentive or commission compensation. We also conduct regular annual reviews with pay for performance considerations for reputed company pay increases. Typical Annualized Offer/Hiring reputed company: $71,200 - $89,000 Annualized Salary reputed company: $71,200 - $115,700 Final pay will be determined with consideration of market competitiveness, internal equity, and the job-reputed company knowledge, skills, training, and experience you bring. Apply tot his job Apply To this Job