Case Manager – Registered Nurse

Role Overview

• Facilitate the delivery of appropriate benefits and/or healthcare information which determines eligibility for benefits while promoting wellness activities
• Develops, implements and supports Health Strategies, tactics, policies and programs that ensure the delivery of benefits and to establish overall member wellness and successful and timely return to work
• Services and strategies, policies and programs are comprised of network management, clinical coverage, and policies

Requirements

• Candidate must have active and unrestricted Compact Registered Nurse (RN) License in the state of residence
• Candidate must be located in Central Time Zone (CST)
• 3+ years clinical practical experience required with preference for the following backgrounds: diabetes, CHF, CKD, post-acute care, hospice, palliative care, cardiac with Medicare members
• 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 (may require working from home)
• Proficiency with standard corporate software applications, including MS Word, Excel, Outlook and PowerPoint, as well as some special proprietary applications
• Efficient and effective computer skills including navigating multiple systems and keyboarding
• Willing and able to obtain multi state RN licenses if needed, company will reimburse expense
• Bilingual
• Certified Case Manager
• National professional certification (CRC, CDMS, CRRN, COHN, or CCM)

Benefits

• medical, dental, and vision coverage
• paid time off
• retirement savings options
• wellness programs
• other resources, based on eligibility