RN Case Manager – Behavioral Health

Vaga não está no LinkedIn

🕒 Setembro 1

🏰 Missouri – Remoto

🏰 Missouri – Remote

💵 $90.000 / ano

⏰ Tempo Integral

🟡 Pleno

🟠 Sênior

👔 Gerente

👻 Score fantasma 16%

O que significa: quão provável esta vaga está aberta sem contratação ativa.Como ler: 60% ou mais significa que achamos que é uma vaga fantasma. Pontuações mais baixas preocupam menos.Como pontuamos: tempo em aberto, republicações, vagas abertas vs tamanho do time, rapidez para fechar vagas, e se o salário está divulgado.Observação: é uma estimativa de dados públicos, não um julgamento da empresa. Vagas reais podem ter pontuação alta, então use como uma dica, não como um fato.

Candidatar-se

Encontrar Vagas Remotas Similares

Configurar Alerta de Email para Novas Vagas

📊 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

Guide Healthcare

SiteLinkedInTodas as Vagas

51 - 200 funcionários

Fundada em 2018

⚕️ Seguro de Saúde

🏥 Saúde

🎯 Recrutamento

Healthcare Insurance • Healthcare • Recruitment

A Guide Healthcare está liderando um movimento onde a criatividade gera mudanças positivas no setor de saúde. A empresa é especializada na prestação de serviços de saúde aliados e recrutamento na área de saúde, com foco no suporte e tratamento de idosos. Com um compromisso de agregar valor aos seus clientes, parceiros e equipes, a Guide Healthcare busca fazer as coisas de maneira diferente na indústria.

Descrição

• Pull, sort, and analyze data to determine member eligibility for the Population Health Management Program • Coordinate and provide timely, effective, equitable, safe, and member-centric care while following HMO processes • Manage case assignments, including outreach, documentation, case progression monitoring, and case closure • Complete reporting and documentation standards • Participate in collaborative meetings with department staff and clients • Address barriers, social determinants, member motivators, and psychosocial issues to support member wellness and health autonomy • Educate members on navigating the HMO and healthcare system • Promote quality and cost-effective interventions and outcomes • Support operational activities to meet customer requirements and satisfaction • Maintain confidentiality of computer programs, medical records, and data • Participate in QM/UM Committee Meetings, including material preparation, minutes, data collection and analysis, reporting, and follow-up tasks • Participate in off-hour/weekend call rotations if applicable • Maintain continued professional growth and education consistent with current nursing practice and the Illinois Practice Act • Perform other responsibilities as assigned and according to annual program requirements

🎯 Requisitos

• Current Illinois Registered Nurse License • Complete 20 hours of continuing education per 2-year Illinois license renewal cycle • Minimum five years of experience in a variety of healthcare settings • Highly experienced in case management and chronic condition management • Knowledge of utilization review, quality improvement, managed care, and/or community health • Previous remote and/or telephonic work experience • Basic knowledge of case management principles, healthcare management, and reimbursement components • Experience with motivational interviewing • Excellent clinical judgment • Highly skilled in verbal and written communication • Strong organizational, problem-solving, and time-management skills • Ability to complete projects and assignments on time • Ability to prioritize and react to rapidly changing business needs • Ability to work independently and remotely with multitasking skills in fast-paced workflows • Software proficiency including MS Word, Excel, Access, PDF, Outlook, word processing, and spreadsheets • Experience navigating multiple EMR systems • High-speed, secure home internet connection • Private HIPAA-compliant home office with a lockable door • Backup internet connection options • Certification in Case Management preferred but not required

🏖️ Benefícios

• Fully remote work arrangement • Medical, dental, and vision plans • 401(k) plan with a 3% employer match to the employee’s 6% contribution • Life and disability insurance • Voluntary life insurance options • Employee Assistance Program (EAP) • Paid time off plans • Paid parental leave • Learning and development resources • Necessary work equipment provided at no charge • Full-time employees working 30 hours per week or more are eligible for comprehensive benefits