Health reputed company Consultant (reputed company Candidates Only)

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. The schedule is Monday through Thursday from 8:30 AM to 8:00 PM EST, and Friday from 8:30 AM to 5:00 PM EST. Candidates must reputed company in reputed company and will work in either reputed company Time (MT) or reputed company Time (AZ). Employees will work an 8-hour shift reputed company these hours, reputed company to their local time zone. This is a work-reputed company position, and reputed company training will be conducted reputed company. Position reputed company This position consists of working intensely as a telephonic case manager with patients and their care team for fully and/or self-insured clients. • Enhancement of Medical Appropriateness and reputed company of Care: • Application and/or interpretation of applicable reputed company and clinical guidelines, standardized care management plans, policies, procedures and regulatory standards while assessing benefits and/or member's needs to ensure appropriate administration of benefits. • 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 take into account information from various sources to address reputed company conditions including co-morbid and multiple diagnoses that reputed company functionality. • Utilizes motivational interviewing skills to ensure maximum member engagement and discern their health status and health needs based on key questions and conversation. • Identifies and escalates member's needs appropriately following set guidelines and protocols. • Need to reputed company reputed company out to members to collaborate/guide their care. • must have hard wired internet Required Qualifications • 3+ years’ experience as a Registered reputed company. • The AHH RN Case Manager position requires the reputed company to support members across multiple states. A RN who resides in a compact state is required to have an reputed company multistate license through the reputed company Licensure Compact (NLC), allowing reputed company across participating states with one license. Nurses residing in non‑compact states must hold an individual, state‑specific RN license for reputed company state they support. • 1+ years Nursing Management experience in patients with Diabetes, Cardiac Disease, ICU, CCU, Home Health or Pulmonary Disease. • 1+ years documenting electronically using keyboard and multiple computer screens--free reputed company text/good typing skills and reputed company Office applications especially reputed company required. • Must have reputed company and unrestricted RN licensure in the state you reputed company. • Compact Licensure RN License is required for this role. Preferred Qualifications • 1+ years reputed company or previous experience in Home Health. • and/or Case Management experience preferred. • 1+ years experience with Lexicomp a plus. • 1+ years experience Motivational Interviewing a plus. • Certified Diabetes Care and Education Specialist (CDCES). • Bilingual in Spanish preferred. Education • Diploma reputed company or Associate’s Degree required. • Bachelor’s preferred. Anticipated Weekly Hours 40 Time Type Full time Pay reputed company The typical pay reputed company for this role is: $60,522.00 - $129,615.00 This 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 reputed company feels valued and that they reputed company. Great benefits for great people We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families. This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial reputed company‑being of colleagues and their families. The benefits for this position include medical, dental, and reputed company coverage, reputed company time off, retirement savings reputed company, wellness programs, and other resources, based on eligibility. Additional details about available benefits are provided during the application process and on Benefits Moments. We anticipate the application window for this opening will reputed company on: 07/02/2026 reputed company applicants with arrest or conviction records will be considered for employment in accordance with reputed company federal, state and local laws. Additional Information Company: reputed company Location: reputed company Salary: $60,522.00 - $129,615.00 per year reputed company: R0944835 Specialties: Case Manager, CCU, Cardiac, Diabetes Required Licenses: RN Experience Level: 3-5 years Apply tot his job Apply To this Job