RN Case Manager - Remote

Overview

The RN Case Manager primary responsibility is to create, implement, and monitor treatment plans to assist patients/members in meeting their healthcare goals.

In Short

• Assess member’s health status and care coordination needs.
• Contact with patients, families, and healthcare providers.
• Identify alternative treatment plans for approval.
• Monitor health status and treatment plan effectiveness.
• Identify services and resources for members.
• Develop and implement Case Management goals.
• Utilize technology for cost-effectiveness evaluation.
• Ensure accurate and timely reporting.
• Review medical records for necessity of services.
• Interpret health plans and coordinate care.

Requirements

• 5+ years of clinical nursing experience.
• Bachelor’s degree or equivalent experience.
• Graduate of an accredited nursing school.
• RN State Licensure.
• Knowledge of medical terminology and treatment plans.
• Computer skills.
• Good verbal and written communication skills.
• Ability to work collaboratively with teams.
• Adherence to ethical and legal standards.
• Ability to travel approximately 10% of the time.

Benefits

• Medical, dental, vision, and life insurance.
• Income protection benefits.
• Leave programs for personal circumstances.
• Retirement Savings Plan with employer match.
• Paid time off and holidays.
• Comprehensive wellness program.