RN Care Manager

Job not on LinkedIn

🔥 0 minutes ago

⛷️ Utah – Remote

⛷️ Utah – Remote

💵 $41 - $62 / hour

⏰ Full Time

🟢 Junior

👔 Manager

👻 Ghost score 0%

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IMH

WebsiteLinkedInAll Job Openings

501 - 1000 employees

Founded 2007

🏗️ Construction

📦 Logistics

🛡️ Insurance

Construction • Logistics • Insurance

IMH is the Groupe IMA entity providing end-to-end housing assistance and post-claim services across France. It operates 24/7 emergency call-taking and rapid-response interventions for home incidents (fires, water damage, electrical faults, locksmithing), offers remote damage expertise and cost estimation, and manages repair-in-kind through a national network of vetted contractors. IMH also runs digital platforms to support project estimation and paid home-service offerings, coordinates large-scale catastrophe responses, and connects insurers, beneficiaries and service providers via its accredited prestataire network.

📋 Description

• Work with Select Health members, families, caregivers, and a multidisciplinary care team • Assess, plan, facilitate, navigate, coordinate, evaluate, and advocate for members' medical, behavioral, and social needs • Improve health outcomes for patients with chronic conditions or complex needs • Educate patients and caregivers to manage healthcare needs • Facilitate communication and coordinate services • Address barriers and promote clinical quality and cost-effective resource allocation • Develop, document, and implement individualized care plans addressing social, physical, mental, emotional, spiritual, and supportive needs • Identify members needing additional assistance and enroll and follow them in longitudinal care management services • Apply established care models and program policies to assess, establish, and maintain plans of care • Ensure care plans are evidence-based and consistent with referral goals, payer contracts, and established care processes • Maintain case records and document events and progress according to NCQA, CMS, and State EQRO standards • Coordinate communication among members, families, healthcare teams, payers, Sales Team, Employer Groups, and other relevant parties • Contact patients at prescribed intervals to assess progress toward goals • Determine variances and refer patients to a more comprehensive level of care when indicated

🎯 Requirements

• Current license to practice as a Registered Nurse in the state of residence • If the primary state of residence is part of the Nurse Licensure Compact, a compact state license must be obtained within 60 days of hire • If assigned to a non-compact state, a single-state license must be obtained within 60 days of hire • Demonstrated experience and expertise working in clinical nursing • Minimum 1 year of experience in care management/navigation or a closely related field, including Utilization Management, discharge planning, managed care, health promotion, health coaching, behavioral health, quality, or patient educator roles • Strong written and verbal communication and conflict resolution skills • Intermediate computer software and hardware skills • Ability to customize computer settings, use multiple monitors, and independently troubleshoot internet and applications • RNs hired or promoted into this role must have or obtain a BSN within three years of hire or promotion • Preferred: Bachelor's degree in nursing from an accredited institution • Preferred: Case Management Certification • Preferred: Three years of clinical nursing experience in ambulatory care, community health, or home care • Preferred: Experience working with third-party payers • Preferred: Experience working successfully in a remote environment or using Advanced Microsoft Suite, including Teams and Outlook • Ability to work independently and flexibly in a rapidly changing environment • Ability to be self-motivated and maintain a positive attitude • Ongoing ability to see and read information, documents, monitors, equipment, and supplies • Ability to verbally communicate and hear and understand spoken information quickly and accurately • Manual dexterity to manipulate complex and delicate equipment • Frequent computer use for typing and accessing information • Ability to sit or stand in a stationary position for a long time

🏖️ Benefits

• Generous benefits package covering programs for wellness, including living healthy, happy, secure, connected, and engaged • Company equipment for remote work • Remote work expectations and support related to confidentiality, information security, work schedules, conflicts of interest, and use of company equipment