Case Manager, Registered Nurse – Medicare

Job not on LinkedIn

🔥 0 minutes ago

🔔 Pennsylvania – Remote

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💵 $60.5k - $129.6k / year

⏰ Full Time

🟢 Junior

🟡 Mid-level

👻 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

• Facilitate delivery of appropriate benefits and healthcare information to determine benefit eligibility • Promote wellness activities • Develop, implement, and support health strategies, tactics, policies, and programs • Support delivery of benefits, member wellness, and timely return to work • Perform assessment, planning, facilitation, care coordination, evaluation, and advocacy • Coordinate options and services addressing members’ and families’ comprehensive health needs • Collaborate with members, providers, and community organizations • Address members’ healthcare and social determinant needs • Promote quality and cost-effective outcomes • Work within a member-centric, team-delivered, community-based care management model

🎯 Requirements

• Active and unrestricted RN Compact licensure • Minimum 3+ years clinical practical experience preferred, including experience with Diabetes, CHF, CKD, post-acute care, hospice, palliative care, or cardiac care, with Medicare members • Minimum 2+ years Case Management, discharge planning and/or home health care coordination experience • Excellent analytical and problem-solving skills • Effective communications, organizational, and interpersonal skills • Ability to work independently, including potentially working from home • Proficiency with MS Word, Excel, Outlook, PowerPoint, and proprietary applications • Efficient computer skills, including navigating multiple systems and keyboarding • Willingness and ability to obtain multi-state RN licenses if needed • Certified Case Manager preferred • Additional national professional certification (CRC, CDMS, CRRN, COHN, or CCM) preferred but not required • Associate degree or Nursing diploma required • Bachelor’s degree preferred

🏖️ Benefits

• CVS Health bonus, commission or short-term incentive program in addition to base pay • Medical coverage • Dental coverage • Vision coverage • Paid time off • Retirement savings options • Wellness programs • Other resources supporting physical, emotional, and financial well-being, based on eligibility • Company will provide support to obtain multi-state RN licenses if needed

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