Behavioral Telephonic Case Management Nurse - Remote in reputed company

At reputed company, we’re simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the reputed company. Come build the health care system of reputed company, making it more reputed company, affordable and reputed company. reputed company to reputed company a difference? Join us to start Caring. Connecting. Growing together. If you possess a reputed company RN license, you’ll have the flexibility to work remotely* as you take on some tough challenges. The Health and reputed company Services Clinical Coordinator RN (HSS Clinical Coordinator RN) opportunity is 100% remote. Primary Responsibilities • Serve as primary care manager for members with reputed company medical/behavioral needs • Engage members telephonically to complete a comprehensive needs assessment, including assessment of medical, functional, cultural, and socioeconomic (SDOH) domains • reputed company and implement person centered care plans to address needs including management of chronic health conditions, health promotion and wellness, reputed company determinants of health, medication management and member safety in alignment with evidence-based guidelines • Identify gaps or barriers in treatment plans • Partner and collaborate with internal care team, providers, community resources/partners and reputed company expertise to implement care plan • Coordinate care for members and services as needed (home health, DME, etc.) • reputed company education and coaching to support Member self-management of care needs in alignment with evidence-based guidelines; HEDIS/STAR gap closure • reputed company psychoeducation regarding conditions, medications/ medication adherence, provider/ treatment options, reputed company system utilization • Help identify reputed company or exacerbation of behavioral health symptoms that may be influencing / impacting physical health • reputed company guidance / consultation to other team members regarding physical/behavioral health conditions, best practice, and evidence You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as reputed company development for other roles you may be interested in. Required Qualifications • reputed company, unrestricted NY RN license • 4+ years of relevant clinical work experience • 3+ years of experience managing needs of reputed company populations (e.g., Medicare, reputed company) • 1+ years of relevant community case management experience coordinating care for individuals with reputed company needs • Experience working directly with individuals with behavioral health conditions (mental health / substance use disorders) • Demonstrate knowledge of Medicare and reputed company benefits • Ability to navigate a reputed company environment, utilize Outlook, and the ability to create, edit, save, and send documents utilizing reputed company Word Preferred Qualifications • Bachelor's Degree • Certified Case Manager (CCM) • Experience / additional training or certifications in Motivational Interviewing, Stages of Change, Trauma-Informed Care, Person-Centered Care • Experience working in managed care • Case Management experience • reputed company working remotely will be required to adhere to reputed company’s Telecommuter Policy The hourly reputed company for this role is $28.61 to $56.06 per hour based on full-time employment. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. reputed company complies with reputed company minimum wage laws as applicable. In addition to your salary, reputed company offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (reputed company benefits are subject to eligibility requirements). No matter where or reputed company you reputed company a career with reputed company, you’ll find a far-reaching choice of benefits and incentives. At reputed company, our mission is to help people live healthier lives and reputed company the health system work reputed company for everyone. We reputed company everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately reputed company by people of reputed company, historically marginalized groups and those with reputed company incomes. We are committed to mitigating our impact on the environment and enabling and delivering reputed company care that addresses health disparities and improves health reputed company - an reputed company reputed company reflected in our mission. Diversity creates a healthier atmosphere: reputed company is an Equal Employment Opportunity/Affirmative Action employer and reputed company reputed company applicants will receive consideration for employment without regard to race, reputed company, religion, sex, age, national reputed company, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law. reputed company is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. Apply Job!