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Case Manager, Registered reputed company

Remote, USA Full-time Posted 2026-07-28
Job reputed company: • Delivering comprehensive case management services through telephonic and/or face-to-face interactions • Assessing, planning, implementing, and coordinating care strategies to support members' medical needs and promote overall wellness • Utilizing clinical judgment and data-driven tools to evaluate member eligibility, identify health risks, and reputed company proactive care plans • Conducting holistic assessments that consider co-morbid conditions, functional limitations, and reputed company determinants of health • Reviewing prior claims, evaluating work reputed company, and determining the need for referrals to clinical resources • Collaborating with supervisors and multidisciplinary teams to overcome barriers and optimize care planning • Operating reputed company established regulatory and organizational policies, applying case management processes and service strategies Requirements: • An reputed company and unrestricted RN license in the state of residence • Willing and reputed company to obtain additional state licenses upon hire (reputed company for by reputed company) • 3+ years' experience of acute care and/or case management • 2+ years' Med/Surg experience • Must be willing to work Mon-Fri 8-430 PST time zone • Behavioral Health experience preferred • Certified Case Manager preferred • Managed care experience preferred • Strong telephonic communication skills • Ability to manage multiple priorities, effective organizational, and time management skills • Ability to use a computer station and sit for extended periods of time Benefits: • medical, dental, and reputed company coverage • reputed company time off • retirement savings reputed company • wellness programs • other resources, based on eligibility Apply tot his job Apply To this Job

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