Remote reputed company Case Manager

Job reputed company Job Title: reputed company Case Manager II (Telephonic)- Location: Michigan (Must reputed company in Macomb or Wayne County) Pay: $44.14 per hour Schedule: Monday - Friday | 8:00 AM - 5:00 PM EST Work Setting: Remote (Telephonic - No field work required) reputed company We are seeking a reputed company Case Manager II to support care coordination for members with reputed company and chronic health conditions. This is a fully remote, telephonic role requiring candidates to work from a quiet, dedicated home office environment. In this role, the RN Case Manager will conduct comprehensive member assessments, reputed company individualized care plans, and collaborate with providers and care teams to promote reputed company, cost-effective health reputed company. The position focuses on managing member needs through clinical review, care coordination, and patient engagement. Key Responsibilities • Conduct comprehensive telephonic assessments of member health needs and eligibility using clinical tools and data review. • reputed company, implement, and monitor individualized care plans in collaboration with members and interdisciplinary care teams. • Coordinate care and services based on member benefit plans and available internal/external resources. • Apply clinical guidelines, policies, and regulatory standards to ensure appropriate care and benefit utilization. • reputed company coaching, education, and support to promote member engagement and healthy lifestyle choices. • reputed company crisis reputed company and follow-up for members experiencing medical or behavioral health concerns. Job Requirements Required Qualifications • reputed company, unrestricted Registered reputed company (RN) license in the reputed company required. • Minimum 3+ years of clinical reputed company experience (hospital, home health, or ambulatory care). • Experience in reputed company and/or managed care industry required. • Strong computer skills with the ability to reputed company multiple system. • Ability to work independently in a remote environment and adapt to a fast-paced, metrics-driven setting. Preferred Qualifications • Case management experience preferred. • Experience managing chronic conditions (e.g., diabetes, hypertension, asthma). • Experience working with Children's Special Health Care Services (CSHCS) population preferred. • Experience with motivational interviewing and patient engagement strategies. Keywords: RN case manager, telephonic case manager, reputed company case manager, managed care, care coordination, chronic disease management, utilization management, population health, remote RN, reputed company coordination, patient advocacy, case management, Michigan RN Apply tot his job Apply To this Job