RN Case Manager

Vaga não está no LinkedIn

🕒 Setembro 9

🇺🇸 Estados Unidos – Remoto (EUA)

💵 $75.000 - $95.000 / ano

⏰ Tempo Integral

🟡 Pleno

🟠 Sênior

👔 Gerente

👻 Score fantasma 26%

O que significa: a chance de ninguém estar realmente contratando para esta vaga.Como ler: 60% ou mais significa que achamos que é uma vaga fantasma. Pontuações mais baixas preocupam menos.Por que essa pontuação:

• Aberta há 64 dias.
• As vagas desta empresa costumam ser preenchidas em 28 dias.
• Repostada uma vez.

Candidatar-se

Encontrar Vagas Remotas Similares

EXL

SiteLinkedInTodas as Vagas

10.000+ funcionários

🏥 Saúde

🛡️ Seguros

📦 Logística

💰 $2.000.000 Venture Round em 2015-01

Healthcare • Insurance • Logistics

Escolher um parceiro digital vai além das capacidades — trata-se de colaboração e caráter.

Descrição

• Perform comprehensive assessments of beneficiaries and analyze findings to identify clinical, psychosocial, behavioral, and care-gap concerns • Develop and document individualized case management care plans with beneficiaries, families, physicians, and healthcare providers • Document goals, evidence-based interventions, resources, timeframes, and barriers in care plans • Coordinate and implement care-plan activities to support benefits coverage, continuity of care, and service integration • Monitor, evaluate, revise, and update care plans to achieve desired outcomes • Initiate care conferences with the Medical Director and multidisciplinary care team for challenging cases • Advocate for beneficiaries by promoting self-determination, informed decision-making, autonomy, and self-advocacy • Educate and support beneficiaries in self-care management and access to care • Identify benefit-related, educational, healthcare, and community resources and coordinate services • Apply comprehensive case management, patient-centered care coordination, cultural sensitivity, and complex-condition management principles • Collaborate with beneficiaries, caregivers, providers, multidisciplinary teams, and community resources • Participate in training, professional development, team conferences, and meetings • Document clinical information accurately, concisely, and promptly • Follow professional standards, applicable policies, federal and state regulations, patient confidentiality requirements, release-of-information rules, and HIPAA

🎯 Requisitos

• Current, unrestricted Registered Nurse license in the state of residence and ability to obtain multi-state licensure • United States citizenship status • Ability to obtain required security clearance; current DOD Security Clearance preferred • Associate or bachelor's degree in nursing from an accredited institution; bachelor's degree preferred • 5+ years of clinical RN experience in direct patient care • Knowledge of case management practices and patient-centered care concepts • Proficiency in Microsoft Office, mobile technologies, and navigating multiple applications • Ability to adapt to changing priorities • Prior case management experience preferred • Case Management Certification (CCM) highly desirable • Experience working in an NCQA and URAC accredited case management program preferred • Telephonic case management experience at a health plan highly desirable • Ability to work independently and collaboratively • Critical thinking and clinical problem-solving skills • Ability to work independently in a home office environment • Maintain CEUs as required by applicable State Boards of Nursing and required certifications • Willingness to obtain and maintain additional licenses as required to meet business needs • Adherence to HIPAA and applicable federal and state privacy and security regulations

🏖️ Benefícios

• Supportive, fast-paced, and innovative work environment • Opportunity to work with experienced healthcare consultants • Exposure to clients’ business areas • Mentoring program with senior-level professional advisors • Professional growth and development opportunities • Ongoing training and professional development • Team meetings and regular conferences • Travel for team meetings and limited client onsite engagements (up to 5% annually)

📊 Verifique sua pontuação de currículo para esta vaga

Melhore suas chances de conseguir uma entrevista verificando sua pontuação de currículo antes de se candidatar.

Enviar Currículo