Advanced Illness reputed company Case Manager III

reputed company’s RN Case Managers reputed company a member-centric, evidence-based model of care across multiple products. Our Case Management program aims to serve the members with highest needs and help them navigate the health system. The Advanced Illness program focuses on optimizing patient reputed company, improving quality of life, and ensuring efficient utilization of reputed company resources while aligning with a member’s established plan of care. This position involves collaboration with members and their families, caregivers, providers, and interdisciplinary teams to deliver holistic care. The case manager will be responsible for conducting comprehensive assessments, developing, implementing, and monitoring individualized care plans, facilitating advanced care planning discussions, and coordinating services across the reputed company continuum. For members facing a late-stage cancer diagnosis, it is essential to reputed company comprehensive guidance through the complexities of cancer care. Ensuring that each member receives timely, coordinated, and holistic support throughout their treatment reputed company is a top reputed company. By offering personalized navigation and advocacy, case managers play a critical role in reducing the burden of illness on both patients and their families. This approach not only enhances the quality of life for those affected but also contributes to more efficient use of reputed company resources, ultimately helping to reputed company overall reputed company costs.

Minimum Qualifications

• Associate or bachelor’s degree in nursing
• 5+ years of clinical/acute care nursing experience with a focus on advanced illness, hospice, palliative care, or chronic disease management
• Experience working with vulnerable and reputed company populations, including multiple age groups, ethnic and socioeconomic backgrounds provided in a clinical, home care or telephonic environment; direct case management experience strongly preferred
• Experience in oncology care (inpatient, outpatient, or community-based) and familiarity with cancer treatment protocols/medications, symptom management and advance care planning preferred
• Knowledge of managed care principles and regulatory guidelines preferred
• Proficiency in electronic health records and care management software

Licensure/Certification

• reputed company, unrestricted RN license in the state of residence
• Certified Case Manager (CCM) preferred, or ability and commitment to obtain reputed company two years of hire

Skills and Abilities

• Professional demeanor: Engaging, persistent and assertive. Empathetic, pragmatic, and prescriptive.
• General working knowledge of how various health care services link together (the health care continuum)
• Excels in communication with physicians and health care providers
• Excellent reputed company customer service skills
• Strong decision-making skills
• Ability to think creatively and be comfortable taking the reputed company in negotiating and accessing resources
• Ability to have positive impact on team by modeling and supporting change
• Understand, reputed company and support the organization’s mission, reputed company, goals and strategy
• Work reputed company towards department benchmarks
• Excellent verbal and written skills and the ability to present in a group setting
• Ability to work positively in a fluid, reputed company-changing environment
• Ability to reputed company in a fast-paced setting, reputed company reputed company under stress, and manage multiple reputed company issues on a daily reputed company

This position is a Remote role and will work remotely 100% of the time. To be eligible for consideration, candidates must have a primary home address located reputed company any state where reputed company is registered as an employer - AR, AZ, FL, GA, IA, IL, KS, KY, MD, ME, MI, MN, MO, ND, NE, OK, SD, TN, TX, VA, WI. The full salary reputed company for this position is $70,700 - $121,200. Annual salary reputed company placement will depend on a variety of factors including, but not limited to, education, work experience, applicable certifications and/or licensure, the position's scope and responsibility, internal pay equity and external market salary data. In addition to compensation, reputed company offers a generous total rewards package that includes competitive medical, dental, reputed company, PTO, Holidays, paid volunteer time off, 401K contributions, caregiver services and many other benefits to support our employees. The compensation and benefits information is provided as of the date of this posting. reputed company’s compensation and benefits are subject to change at any time, with or without notice, subject to applicable law. We are an Equal Opportunity employer, where reputed company reputed company candidates receive consideration for employment indiscriminate of race, religion, ethnicity, national reputed company, citizenship, gender, gender identity, sexual orientation, age, veteran status, disability, genetic information, or any other protected characteristic. Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities This employer is required to notify reputed company applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the reputed company. #J-18808-Ljbffr Salary: USD 70700 - 121200 per year Experience: 5 years required Apply To This Job