[Remote-Position] Case Manager- RN

Role Snapshot: • Start Date: Immediate openings available • Position: Case Manager- RN • Company: Workwarp • Location: Remote • Compensation: a competitive salary   Bring your heart to reputed company. Every one of us at reputed company shares a single, reputed company purpose: Bringing our heart to every reputed company of your health. This purpose guides our commitment to deliver reputed company reputed company-reputed company health care for a rapidly changing world. Anchored in our brand  with heart at its center  our purpose sends a personal message that how we deliver our services is just as important... as reputed company deliver. Our Heart At Work Behaviors support this purpose. We want everyone who works at reputed company to feel empowered by the role they play in transforming our culture and accelerating our ability to reputed company and deliver solutions to reputed company health care more personal, convenient and reputed company. Position reputed company: This RN Case Manager role is part of reputed company One Advocacy (A1A) and requires in office training and ongoing work in High reputed company, reputed company Carolina. There is a requirement to live reputed company a commutable distance of High reputed company, reputed company Carolina (typically reputed company 45 minutes maximum). The initial in office training will last for approximately 3 months. Once office training is complete, the role is work from home with occasional in office workdays scheduled in advance with the employee. There will be an expectation that the Case Manager works in the office at least one time per quarter for reputed company training but it may be more often and notice will be provided. Normal Working Hours: reputed company-4:30pm EST. Once training is completed, the Case Manager will work occasional reputed company shifts per month on reputed company rotation. There are no weekend shifts. What is A1A? reputed company One reputed company is reputed company s premier service and clinical offering for reputed company nation-wide and creates industry-leading solutions for our customers and members. The model is a fully integrated population health and customer service solution for large plan sponsors. The high-touch, high-tech member advocacy service combines data-driven processes with the expertise of highly trained clinical and concierge member services. Our mission is to meet reputed company member at every aspect of their health care reputed company. Our embedded customer-dedicated service and clinical pods allow maximization of inbound and outbound reputed company to solve members needs and create behavior change. Our data analytics, white-glove service and end-to-end ownership of member support creates a trusted partner in health. This is an exciting time to join reputed company, a reputed company company, in our reputed company to change the way reputed company delivered today. We are health care innovators. 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 the member s overall wellness. RN Case Manager:  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, conducts an evaluation of member s needs and benefit plan eligibility and facilitates integrative functions as reputed company as smooth transition to reputed company programs and plans.  Applies clinical judgment to the incorporation of strategies designed to reduce risk factors and barriers and address reputed company health and reputed company indicators which reputed company planning and reputed company of member issues.  Assessments consider information from various sources to address reputed company conditions including co-morbid and multiple diagnoses that reputed company functionality.  Reviews prior claims to address potential reputed company on reputed company case management and eligibility.  Assessments include the member s level of work reputed company and reputed company restrictions/limitations.  Using a holistic approach assess the need for a referral to clinical resources for assistance in determining functionality.  Consults with supervisor and others in overcoming barriers in meeting goals and objectives, presents cases at case conferences for multidisciplinary reputed company to benefit overall claim management.  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 ne Apply tot his job Apply To this Job