Case Management Nurse

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Vālenz® Health

WebsiteLinkedInAll Job Openings

501 - 1000 employees

Founded 2004

🏥 Healthcare

💼 Consulting

📦 Logistics

Healthcare • Consulting • Logistics

Vālenz® Health is a comprehensive health plan solutions provider that offers a fully integrated platform designed to simplify the complexities of healthcare for employers, payers, providers, and members. The company focuses on enhancing quality and lowering costs through data-driven insights, member navigation, provider networks, and robust claims management. By connecting various stakeholders in the healthcare ecosystem, Vālenz aims to improve health outcomes and streamline the healthcare experience for all involved.

📋 Description

• Coordinate and manage healthcare services to ensure comprehensive, patient-centered care • Assess patients’ medical needs and develop individualized care plans • Advocate for patients’ rights, preferences, and access to appropriate services • Monitor patient progress, adherence to care plans, and intervention effectiveness • Adjust care plans and interventions as necessary • Document assessments, care plans, and outcomes accurately and promptly • Generate reports on patient status, care outcomes, and resource utilization • Educate patients on medications, treatment plans, and self-care practices • Provide emotional support and counseling to patients and families • Promote preventive care and wellness through health education and lifestyle guidance • Ensure compliance with URAC standards, CMSA Standards of Practice, applicable regulations, and Valenz policies • Collaborate with internal teams to identify health plan coverage savings opportunities • Perform other duties as assigned

🎯 Requirements

• Active, unrestricted Registered Nurse (RN) license in state of residence • Compact License (NLC) accepted if residing in a compact state • 3+ years of nursing experience in an acute care setting • Ability to work in a deadline-driven environment • Strong attention to detail and organizational skills • Critical thinking and sound judgment in complex situations • Appropriate escalation as needed • Excellent communication and interpersonal skills • Collaborative approach to care coordination • Quiet workspace free from distractions • Reliable internet connection • Adherence to company security protocols, including VPNs, secure passwords, and company-approved devices/software • Must be US based and able to comply with company policies such as HIPAA • Case management experience is a plus • Bilingual Spanish is a plus • Relevant certification such as CCM or CCP is a plus • Willingness to obtain CCM within 18 months of hire is a plus

🏖️ Benefits

• Generous compensation commensurate with experience and performance • Competitive benefits package with generous employer subsidies • Flexible and remote working options • 401k with generous employer match and immediate vesting • Personal and professional development opportunities • Supportive family benefits, including paid leave for new family members • Companywide philanthropic program, Valenz Communities Connection • Fully remote position with necessary equipment provided • Medical, Dental, and Vision insurance • HSA, FSA, and DCFSA spending account options • Flexible working environment • Generous Paid Time Off, including vacation, sick leave, and paid holidays • Employee Assistance Program with professional counseling, referrals, and additional services • Paid maternity and paternity leave • Pet insurance • Employee discounts on phone plans, car rentals, and computers • Community giveback opportunities, including paid time off for philanthropic endeavors