RN Case Manager

Vaga não está no LinkedIn

🔥 9 horas atrás

🌽 Illinois – Remoto

🌽 Illinois – Remote

💵 $80.000 - $83.000 / ano

⏰ Tempo Integral

🟡 Pleno

🟠 Sênior

👔 Gerente

👻 Score fantasma 11%

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:

• Publicada recentemente.
• As vagas desta empresa costumam ser preenchidas em 25 dias.
• 60 vagas abertas para uma equipe de 37 pessoas.

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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

• Manage case assignments through extensive patient outreach via telephone, documentation, monitoring, case progression, and case closure • 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 • Meet reporting and documentation standards • Engage in collaborative meetings with department staff and clients • Assist members with wellness and health autonomy by addressing barriers, social determinants, motivators, and psychosocial issues • Educate members on navigating the HMO and healthcare system • Promote quality and cost-effective interventions and outcomes • Support operational aspects of the division 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 rotation if applicable • Maintain continued professional growth and education reflecting current nursing care practice • Perform other responsibilities as assigned and according to annual program requirements

🎯 Requisitos

• Current IL Registered Nurse License • Illinois nursing license and compliance with the Illinois Practice Act • Minimum of five years of experience in a variety of health care settings • Highly experienced in Case Management and Chronic Condition Management • Previous remote and/or telephonic work experience • Knowledge of utilization review, quality improvement, managed care, and/or community health • 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 multitasking skills for fast-paced workflows • Software knowledge including word processing and spreadsheets • Computer skills including MS Word, Excel, Access, PDF, and Outlook • Experience navigating multiple EMRs • Ability to provide internet connection with minimum 100 Mbps download and 10 Mbps upload • Certification in Case Management preferred but not required

🏖️ Benefícios

• Work from home / fully remote work arrangement • Comprehensive Medical, Dental, and Vision plans • 401(k) plan with a 3% employer match to your 6% contribution • Life and Disability insurance • Voluntary Life options • Employee Assistance Program (EAP) • Paid time off plans • Paid parental leave • Learning and development resources • Necessary work equipment provided at no charge • Flexible remote work arrangement • Virtual meetings and collaboration

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