Complex Case Manager RN - Remote

Overview

The Complex Case Manager RN is responsible for overseeing a panel of members with varying health needs, utilizing clinical judgment and data analytics to provide appropriate interventions and support.

In Short

• Manage a panel of members with diverse health needs.
• Conduct assessments and create care plans.
• Utilize data analytics to inform clinical decisions.
• Collaborate with a multi-disciplinary team.
• Ensure compliance with regulatory requirements.
• Monitor and improve quality outcomes.
• Encourage behavior changes in members.
• Document all activities as per business processes.
• Maintain knowledge of healthcare regulations.
• Work autonomously with minimal supervision.

Requirements

• High School Diploma/GED required; Bachelor's Degree in Nursing preferred.
• 7 years of clinical or case management experience required.
• RN license in PA, WV, DE, or NY required.
• Advanced training in CBT or DBT preferred.
• Understanding of cultural competency in healthcare.
• Strong analytical skills and proficiency in MS Excel.
• Excellent interpersonal and negotiation skills.
• Ability to manage multiple priorities in a fast-paced environment.
• Self-directed with strong organizational skills.

Benefits

• Competitive salary range.
• Comprehensive health benefits.
• Opportunities for professional development.
• Supportive work environment.
• Flexible work arrangements.
• Access to diverse healthcare resources.
• Engagement in a multi-disciplinary team.
• Commitment to cultural competency training.
• Employee assistance programs.
• Retirement savings options.