Care Manager – Registered Nurse

Job not on LinkedIn

🔥 0 minutes ago

🏰 Missouri – Remote

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💵 $54.1k - $116.8k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

👻 Ghost score 20%

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Lifelancer

51 - 200 employees

Founded 2020

💼 Consulting

🏥 Healthcare

📦 Logistics

💰 Pre Seed Round on 2022-03

Consulting • Healthcare • Logistics

Lifelancer is an AI-powered talent hiring platform that connects employers with skilled professionals in the Life Sciences, Pharmaceutical, and IT sectors. It enables individuals to create profiles showcasing their skills, get matched with high-paying international jobs or projects, and facilitates hiring and payroll for employers in multiple countries. The platform aims to streamline the hiring process with efficient AI sourcing and compliance support.

📋 Description

• Conduct comprehensive assessments of members with chronic medical, behavioral health, and social determinant of health needs • Conduct telephonic member engagement and coordinate care for 50–75% of the day • Compile clinical information and develop individualized care plans with members • Provide evidence-based disease-management education and support • Engage appropriate interdisciplinary care team members • Coordinate care to provide a seamless healthcare experience • Document care-management activities accurately and timely in electronic health records • Collaborate with the interdisciplinary care team to address barriers and maintain stable health conditions • Connect members with health-plan benefits, community resources, and support services • Meet regulatory requirements within specified timelines • Support care-team members through clinical decision-making and guidance • Participate in special projects, process improvement, and mentoring new team members • Participate in team meetings to discuss member status and care strategies

🎯 Requirements

• Active and unrestricted Registered Nurse (RN) licensure in Missouri OR compact licensure in state of residence • Associate’s of Science in Nursing (ASN) degree and relevant experience in a health care-related field (REQUIRED) • Minimum 3+ years of nursing experience • Minimum 2+ years of case management, discharge planning and/or home healthcare coordination experience • Proficiency in Microsoft Office Suite, including Word, Excel, Outlook, OneNote, and Teams • Access to a private, dedicated workspace • Ability to work independently from home and collaborate virtually • Ability to meet performance and productivity metrics, call volume, member engagement, and regulatory requirements • Familiarity with community resources and services • Ability to use healthcare technology tools and electronic health records • Effective verbal and written communication • Excellent customer service and member engagement skills • Experience or willingness to learn care management within Medicare and Medicaid managed care • Bachelor’s of Science in Nursing (BSN) preferred • Experience with Medicare and/or Medicaid members preferred • Experience with social determinants of health, chronic medical conditions, and/or behavioral health preferred • Experience conducting health-related assessments and facilitating care planning preferred • Bilingual skills, especially English-Spanish, preferred

🏖️ Benefits

• CVS Health bonus, commission or short-term incentive program in addition to base pay • Medical, dental, and vision coverage • Paid time off • Retirement savings options • Wellness programs • Other resources supporting physical, emotional, and financial well-being • Work-from-home arrangement • 40 hours per week

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