Case Management Nurse I - Remote

Overview

As a Case Management Nurse I at Wellmark, you will serve as a key advisor engaging with members to support their chronic and complex health care needs by creating and managing individualized care plans.

In Short

• Work as a Case Management Nurse I in a remote eligible position.
• Engage with members to address their health care needs.
• Create and manage individualized care plans.
• Coordinate care with members, families, and health care providers.
• Utilize critical thinking to anticipate member needs.
• Document care management activities accurately and timely.
• Must obtain Certified Case Manager (CCM) certification within 24 months.
• Preferred candidates have prior health plan experience.
• Flexible with the ability to work weekends/holidays as needed.
• Strong communication skills are essential for the role.

Requirements

• Completion of an accredited nursing program.
• Active RN License in Iowa or South Dakota.
• 4+ years of clinical experience.
• Strong verbal and written communication skills.
• Resourceful self-starter with strong problem-solving skills.
• Technical proficiency with Microsoft Office and clinical documentation platforms.
• Knowledge of healthcare regulations (e.g., HIPAA).
• Ability to manage multiple priorities in a dynamic environment.
• Commitment to service excellence and member advocacy.
• Must be flexible and adaptable to change.

Benefits

• Competitive salary and benefits package.
• Flexible work environment.
• Opportunities for professional development and certification.
• Supportive team culture focused on member well-being.
• Commitment to sustainability and innovation.