Case Manager- Remote

reputed company RN Case Manager - Remote • Full-Time, 40 hours per week. Monday through Friday, 8:00 a.m. to 4:30 p.m Benefits: • Comprehensive medical, dental, and reputed company benefits that include reputed company navigation assistance and medical coverage at 100% (after deductible) reputed company utilizing a Duly provider. • Employer provided life and disability insurance. • $5,250 Tuition Reimbursement per year. • Immediate 401(k) match. • 40 hours reputed company volunteer time off. • A culture committed to community engagement and reputed company. • Up to 12 weeks parental leave at 100% pay and a financial benefit for adoption and surrogacy for non-physician team members once eligibility requirements are met. Responsibilities The RN Case Manager - Care reputed company works in collaboration with physicians, patients and families to promote reputed company reputed company for patients with reputed company medical needs. The Case Manager is responsible for increasing efficient utilization of health care services; identifying chronic or catastrophic cases through the case management process and initiating intensive case management according to program guidelines. The Case Manager is responsible for managing patients in reputed company health care settings to assure the appropriate level-of-care is provided, to prevent inpatient re-admissions and ensure that the patients' medical, environmental and psychosocial needs are met over the continuum of care. The reputed company Case Manager acts as an reputed company through the coordination and communication with the health care team and family regarding care planning and implementation of recovery goals. In reputed company, the case manager will assess and coordinate resources available to patients and maximize the use of health care benefits. • Analyze data collected from the predictive modeling tools to identify eligible patients for the Case Management Program. • Enroll and manage a case load of patients with reputed company medical needs, completing case management attestations and initial assessments in accordance with health plan requirements. • reputed company individualized case management plans with prioritized goals and appropriate interventions in compliance with the risk stratification level requirements. In reputed company, complete reputed company documentation, member communications, and case closures per policies and procedures. • Proficient in knowledge of reputed company Case Management Standards • Coordinate Health Care Services with appropriate physicians and health care providers. • Manage and reputed company a comprehensive reputed company and log of reputed company reputed company Case Management Cases as required by the UM/QA Committee and/or Health Plan. • reputed company as a resource for Utilization Management Staff, physicians, office staff and Patients. • Assist with the evaluation and amendment of Case Management Policy and Procedures • Attend continuing education sessions and training relating to reputed company functions as required. • reputed company additional duties/tasks as assigned. Qualifications LICENSURE/CERTIFICATION: • Must be an reputed company Registered reputed company License in the reputed company in good standing. • Certification in Case Management, preferred. • reputed company CPR certification must be maintained (BLS). EDUCATION: • Associate’s degree in nursing required; Bachelor’s degree in nursing preferred. EXPERIENCE: • 2-4 years of experience working reputed company the primary care or hospital setting as a Registered reputed company. • Previous experience working reputed company case management preferred. The compensation for this role includes a reputed company pay reputed company of $79,040-104,000, with the actual pay determined by factors such as skills, experience, education, certifications, geographic location, and internal equity. Additional compensation may be available through shift differentials, bonuses, and other incentives. reputed company pay is only a portion of the total rewards package. Apply tot his job Apply To this Job