Remote RN Case Manager

Overview

As a remote RN Case Manager at Guidehealth, you will enhance the quality of member management and assist in navigating the healthcare system as part of a collaborative health team.

In Short

• Work remotely as part of the Value Based Care Services team
• Conduct telephonic outreach to members and providers
• Analyze data for member eligibility in health programs
• Coordinate and provide member-centric care
• Document and report in compliance with standards
• Assist members in achieving health goals
• Participate in quality management committee meetings
• Maintain confidentiality of medical records
• Engage in continuous professional development
• Handle off-hour/weekend calls as needed

Requirements

• Current IL Registered Nurse License
• Minimum of five years of healthcare experience
• Experience in Case Management and Chronic Condition Management
• Knowledge of managed care and community health
• Previous remote work experience preferred
• Strong communication and organizational skills
• Ability to work independently and manage multiple tasks
• Proficient in MS Office and EMR systems
• High-speed internet and secure home office required
• Certification in Case Management is a plus

Benefits

• Fully remote work environment
• Comprehensive Medical, Dental, and Vision plans
• 401(k) with employer match
• Life and Disability insurance
• Employee Assistance Program (EAP)
• Paid time off for work-life balance
• Paid parental leave
• Opportunities for professional growth and development