Case Manager, Registered Nurse

Role Overview

• Acts as a liaison with member/client/family, employer, provider(s), insurance companies, and healthcare personnel
• Implements and coordinates all case management activities relating to catastrophic cases and chronically ill members/clients
• Interacts with members/clients telephonically or in person
• Assesses and analyzes members/clients' medical and/or vocational status; develops a plan of care
• Communicates with members/clients and other stakeholders as appropriate
• Prepares all required documentation of case work activities
• Interacts and consults with internal multidisciplinary team
• Provides educational and prevention information for best medical outcomes
• Utilizes case management processes in compliance with regulatory and company policies

Requirements

• Candidate must reside in an Eastern Standard Time Zone (EST) state
• Candidate must have active and unrestricted Compact Registered Nurse (RN) licensure in state of residence
• 2+ years of experience in care management
• 2+ years of Medicare experience
• Preferred: Geriatric experience
• Preferred: Experience working in a Multicultural setting
• Preferred: Certified Case Manager
• Preferred: National professional certification (CRC, CDMS, CRRN, COHN, or CCM)
• Education: Associate’s Degree in Nursing AND relevant experience in a health care-related field (REQUIRED)
• Preferred: Bachelor’s Degree in Nursing

Benefits

• Affordable medical plan options
• 401(k) plan (including matching company contributions)
• Employee stock purchase plan
• No-cost programs for wellness screenings
• Tobacco cessation programs
• Weight management programs
• Confidential counseling
• Financial coaching
• Paid time off
• Flexible work schedules
• Family leave
• Dependent care resources
• Colleague assistance programs
• Tuition assistance
• Retiree medical access
• Many other benefits depending on eligibility