Remote RN Case Manager

Overview

As a registered nurse with an Illinois nursing license, you will work remotely to enhance the quality of member management, maximize both satisfaction and cost effectiveness, and assist in navigating the health care system as a collaborative health partner in their health care team.

In Short

• Work remotely as an RN Case Manager.
• Enhance quality of member management and satisfaction.
• Conduct telephonic outreach to members and providers.
• Analyze data for member eligibility in health programs.
• Coordinate timely and effective member-centric care.
• Manage case assignments and documentation.
• Assist members in achieving health-related goals.
• Participate in QM/UM Committee Meetings.
• Maintain confidentiality of medical records and data.
• Responsible for continued professional growth.

Requirements

• Current IL Registered Nurse License.
• Minimum of five years of healthcare experience.
• Experience in Case Management and Chronic Condition Management.
• Knowledge of utilization review and managed care.
• Excellent clinical judgment and communication skills.
• Strong organizational and time management skills.
• Ability to work independently and remotely.
• Software knowledge including MS Word and Excel.
• Experience navigating multiple EMRs.
• High speed internet connection and HIPAA compliant home office.

Benefits

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