RN Case Manager – Behavioral Health

Vaga não está no LinkedIn

🕒 Setembro 1

🧀 Wisconsin – Remoto

🧀 Wisconsin – 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

• Enhance the quality of member management, maximize member satisfaction and cost effectiveness, and assist members in navigating the healthcare system • Work collaboratively with clients, members, and healthcare teams to promote wellness and problem-solve • Conduct telephonic member and provider outreach • Collect and analyze data • Perform reporting, clinical review, medical and behavioral health assessments, and compliant documentation • 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, monitoring case progression, and case closure • Meet reporting and documentation standards and participate in collaborative meetings with department staff and clients • Address barriers, social determinants, member motivators, and psychosocial issues to support wellness and health autonomy • Educate members on navigating the HMO and healthcare spectrum while promoting 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; some meetings may require in-person attendance • Rotate in off-hour/weekend calls if applicable • Pursue 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 IL Registered Nurse License • Illinois nursing professional staff must complete 20 hours of continuing education per 2-year license renewal cycle • Minimum of five years of experience in a variety of health care 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 ensure timely completion of projects and assignments • Ability to prioritize and react to rapidly changing business needs • Ability to work independently and remotely with multi-tasking skills for fast-paced workflows • Software knowledge including word processing and spreadsheets • Computer skills including MS Word, Excel, Access, PDF, Outlook, etc. • Experience navigating multiple EMRs • High-speed/secured home internet connection with minimum 100 Mbps download and 10 Mbps upload • Private HIPAA-compliant home office with a locking door for security and privacy • Backup internet connection service options for outages

🏖️ Benefícios

• Fully remote work with flexible work-from-home arrangement • Necessary work equipment provided at no charge • 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 • Virtual meetings and remote-first work environment