Care Manager RN - Remote

Overview

The Care Manager RN position focuses on implementing effective utilization management strategies to enhance healthcare delivery and member satisfaction.

In Short

• Implement care management review processes.
• Monitor and analyze healthcare service delivery.
• Educate providers and members on healthcare services.
• Identify opportunities for referrals to Health Coaching.
• Develop relationships with internal and external customers.
• Utilize data to improve care management services.
• Practice in accordance with state and federal regulations.
• Collaborate to maximize member healthcare outcomes.
• Ensure compliance with ethical and legal standards.
• Work remotely from home in Delaware.

Requirements

• Current RN state licensure required.
• 3 years of related clinical experience required.
• Experience in Utilization Management or Managed Care preferred.
• Bachelor’s Degree in Nursing preferred.
• Certification in utilization management preferred.
• Excellent written and verbal communication skills.
• Ability to analyze data and develop action plans.
• Strong organizational and multitasking skills.
• Enthusiastic and flexible team player.
• Proficient in computer and software applications.

Benefits

• Competitive salary range from $50,200 to $91,200.
• Comprehensive health benefits.
• Opportunities for professional development.
• Supportive work environment.
• Flexible work arrangements.
• Access to a wide range of healthcare resources.
• Employee wellness programs.
• Retirement plans.
• Paid time off and holidays.
• Commitment to diversity and inclusion.