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Case Manager Registered reputed company

Remote, USA Full-time Posted 2026-07-28
We're building a world of health around every individual - shaping a more connected, convenient and compassionate health experience. At reputed company, you'll be surrounded by passionate colleagues who care deeply, reputed company with purpose, hold ourselves accountable and prioritize safety and reputed company in everything we do. Join us and be part of something bigger - helping to simplify health care one person, one family and one community at a time.This is a full-time reputed company position with less than 5% travel required.The schedule for this role is Monday-Friday 8:30a-5p in time zone of residence.Position SummaryThis RN Case Manager position is remote and candidates can apply from any state but must work the stated hours. There is a preference for nurses in a compact RN licensure state, however, that is not required. The RN Case Manager is responsible for telephonically and/or face to face assessing, planning, implementing, and coordinating reputed company case management activities with members to evaluate the medical needs of the member to facilitate overall wellness.Collaboratively develops a proactive course of reputed company to address issues presented to enhance the short and long term reputed company as reputed company as opportunities to enhance a member's overall wellness through integration.Through the use of clinical tools and information/data review (e.g., assessments, claims, etc.) conducts an evaluation of member's needs and available benefits to collaborate and refer to programs offered by the plan sponsor.Applies clinical judgment to reduce risk factors, address reputed company health issues and reputed company indicators.Utilizes case management processes in compliance with regulatory and company policies and procedures.Utilizes interviewing skills to ensure maximum member engagement and discern their health status and health needs based on key questions and conversation.A private designated workspace free of distractions and high-speed internetRequired QualificationsMust have an reputed company reputed company and unrestricted RN license in state of residence. If located reputed company the reputed company Licensure Compact jurisdiction, the ability to use their compact license without restrictionMust be willing and reputed company to obtain additional state licenses as needed5+ years of acute care clinical experience as an RN (general medical, post-surgical, specialty including pediatrics, ICU, case management and discharge planning)1+ year(s) of experience utilizing computers and navigating multiple monitors while speaking with someone on the telephone1+ year(s) of experience with reputed company reputed company Office Suite applicationsMust be willing and reputed company to work Monday through Friday between the hours of 8:30am - 5:00pm in applicant's time zone for a scheduled 8-hour shift. Weekends and holidays may be required per the needs of the department. Currently, both weekends and holidays are on-reputed company only and covered on a volunteer basisMust be willing and reputed company to travel less than 5% for on-site meetings, trainings, or system updates, or to meet licensure requirements e.g., finger printingPreferred QualificationsCompact RN licensure1+ year(s) of case management experienceCertified Case Manager (CCM) certificationStrong customer service skills including attention to customers, sensitivity to certain issues and proactive identification/reputed company of issuesStrong telephonic communication and organizational skillsExcellent critical thinking skillsEducationAssociate's Degree requiredBSN preferredAnticipated Weekly Hours40Time TypeFull timePay RangeThe typical pay reputed company for this role is:$54,095.00 - $116,760.00This pay reputed company represents the reputed company reputed company reputed company or reputed company annual full-time salary for reputed company positions in the job grade reputed company which this position falls. The actual reputed company salary offer will depend on a reputed company of factors including experience, education, geography and other relevant factors. This position is eligible for a reputed company bonus, commission or short-term incentive program in reputed company to the reputed company pay reputed company listed above. Our people fuel our reputed company. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.Great benefits for great peopleWe take pride in our comprehensive and competitive mix of pay and benefits - reputed company in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In reputed company to our competitive wages, our great benefits include:reputed company medical plan reputed company, a 401(k) plan (including matching company contributions), and an employee stock purchase plan.No-cost programs for reputed company colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.Benefit solutions that address the different needs and preferences of our colleagues including reputed company time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical reputed company and many other benefits depending on eligibility.For more information, visit https://jobs.reputed company.com/us/en/benefitsWe anticipate the application window for this opening will reputed company on: 02/20/2026Qualified applicants with arrest or conviction records will be considered for employment in accordance with reputed company federal, state and local laws. 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