Case Manager, Registered Nurse

Role Overview

• Utilize a collaborative process of assessment, planning, facilitation and advocacy for options and services to meet an individual’s benefit plan and/or health needs
• Assess member's health status and care coordination needs
• Conduct inpatient review and discharge planning
• Develop and implement case management plans, monitor and evaluate plans, and involve Medical Director as needed
• Close cases when members have met discharge criteria
• Apply data driven methods to fashion individualized case management programs and/or referrals
• Conduct comprehensive clinical assessments
• Evaluate needs and develop flexible approaches based on member needs, benefit plans or services
• Advocate for patients to the full extent of existing health care coverage
• Promote quality and cost-effective outcomes
• Provide a very high level of customer service
• Utilize assessment techniques to determine member’s health literacy
• Utilize motivational interviewing skills to ensure maximum member engagement
• Provide coaching, information, education, and support to empower members for lifestyle changes

Requirements

• Active current and unrestricted RN license in state of residence
• Willingness and ability to obtain additional state licenses upon hire (paid for by the company)
• 3+ years of acute care experience as an RN required, Med Surg or Critical Care preferred
• Must be willing to work Monday through Friday 9:00am through 5:30pm in time zone of residence with an occasional late shift rotation per the needs of the business 11:30am-8pm EST
• Compact RN License or Multi state licensure preferred
• Certified Case Manager (CCM) preferred
• Telephonic case management and/or telephonic experience preferred
• Associate Degree in Nursing required, BSN preferred

Benefits

• Affordable medical plan options
• 401(k) plan (including matching company contributions)
• Employee stock purchase plan
• No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching
• Paid time off
• Flexible work schedules
• Family leave
• Dependent care resources
• Colleague assistance programs
• Tuition assistance
• Retiree medical access