Case Manager, Registered Nurse – Medicare

Job not on LinkedIn

🔥 3 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 benefits eligibility • Promote wellness activities and support member wellness • Assess, plan, facilitate, coordinate, evaluate, and advocate for options and services addressing comprehensive health needs • Collaborate with members, providers, and community organizations • Address members’ healthcare and social determinant needs • Develop, implement, and support health strategies, tactics, policies, and programs • Coordinate clinical coverage, network management, and related services • Promote quality, cost-effective outcomes • Support successful and timely return to work • Serve Community Care members through 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 Medicare members; relevant areas include diabetes, CHF, CKD, post-acute care, hospice, palliative care, or cardiac care • Minimum 2+ years Case Management, discharge planning and/or home health care coordination experience • Excellent analytical and problem-solving skills • Effective communication, organizational, and interpersonal skills • Ability to work independently, including 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 multistate 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 • Ability to work Monday-Friday, 8:00am-5:00pm EST • 40 hours per week

🏖️ Benefits

• Medical coverage • Dental coverage • Vision coverage • Paid time off • Retirement savings options • Wellness programs • Other resources supporting physical, emotional, and financial well-being • CVS Health bonus, commission or short-term incentive program eligibility

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