Case Manager – NLC

Job not on LinkedIn

🔥 1 hour ago

🌵 Arizona, Florida, +1 more states – Remote

🌵 Arizona – Remote 🐊 Florida – Remote 🌲 North Carolina – Remote

💵 $35 - $38 / hour

⏰ Full Time

🟡 Mid-level

🟠 Senior

👔 Manager

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

👻 Ghost score 0%

What it means: the chance that no one is really hiring for this job.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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Independent Health

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

🏥 Healthcare

⚕️ Healthcare Insurance

🛡️ Insurance

Healthcare • Healthcare Insurance • Insurance

Independent Health is one of Western New York's first Health Maintenance Organizations (HMOs) and provides health insurance coverage to approximately 355,000 individuals with over 100 plans, services, and products. The company specializes in health insurance, pharmacy benefits, Medicare Advantage, and self-funded plans, promoting a culture that emphasizes bringing out the best in its members and staff.

📋 Description

• Apply assessment, planning, implementation, coordination, monitoring and evaluation activities in case management • Assess patients’ immediate and long-term social and medical needs • Develop individualized plans of care considering physical and psychosocial needs, benefit plans and cost-benefit factors • Evaluate and monitor plans of care, quality of care and effectiveness of services • Ensure regulatory and privacy compliance, reimbursement and appeals processes, documentation, and database accuracy • Establish relationships with interdisciplinary teams and communicate case objectives • Act as a patient advocate and identify potential complications • Apply the Americans with Disabilities Act and relevant federal legislation • Research and coordinate community resources, assistive equipment and support systems • Communicate available services and resources and assist patients in obtaining them • Identify and implement alternative care levels, providers and resources • Evaluate cost effectiveness, collaborate with payors and providers, and negotiate discounts when appropriate • Document patient plans of care promptly • Participate in professional organizations, continuing education, training and education committees • Support staff orientation, training and development • Provide guidance and direction to support staff • Perform assignments professionally

🎯 Requirements

• Registered Nurse (RN) with active, current, unrestricted license in a Nurse Licensure Compact (NLC) state required • Bachelor’s degree preferred • Case Management Certification (CCM) required; candidates without CCM certification must obtain it within three years of commencing employment • Three years of clinical RN experience in a med/surg or ambulatory care setting required • Clinical experience in Behavior Health, Transplant, Neo-Natal or Oncology preferred • Previous experience in managed care a plus • Clinical knowledge of the health or social work needs for the population served • Ability to identify barriers to a successful care management path • Ability to interact effectively with physicians and other health care team members • Excellent problem-solving and time management skills • Excellent written, verbal and interpersonal communication skills • Ability to complete job duties independently and proficiently • Flexibility in work schedules and assignments • Immigration or work visa sponsorship will not be provided • Candidates must reside in Arizona, North Carolina or Florida • Must understand the scope of practice of multi-state licensure and practice accordingly

🏖️ Benefits

• Scorecard incentive may be available • Full range of benefits • Generous paid time off • Continuing education participation • Training and education opportunities

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