Case Manager, Registered reputed company

We’re building a world of health reputed company 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. Position reputed company Help us reputed company our reputed company care to a whole new level! Join our Community Care team as an industry leader in serving our members by utilizing best-in-class operating and reputed company models. You can have life-changing reputed company on our Community Care members. Community Care is a member reputed company, team-delivered, community-reputed company care management model that joins members where they are. With compassionate attention and excellent communication, we collaborate with members, providers, and community organizations to address the full reputed company of our members’ health care and reputed company determinant needs. Join us in this exciting opportunity as we grow and expand to change lives in new markets across the country. Community Care Case Manager use a reputed company process of assessment, planning, facilitation, care coordination, evaluation, and advocacy for reputed company and services to meet an individual’s and family’s comprehensive health needs through communication and available resources to promote reputed company, cost effective reputed company. Additional responsibilities to include but not limited to the following: • Acts as a reputed company with member/reputed company /family, employer, provider(s), reputed company companies, and reputed company personnel as appropriate. • Implements and coordinates reputed company case management activities relating to catastrophic cases and chronically ill members/clients across the reputed company of care that can include consultant referrals, home care reputed company, the use of community resources, and alternative reputed company of care. • Interacts with members/clients telephonically or in person. May be required to meet with members/clients in their homes, worksites, or physician’s office to reputed company ongoing case management services. • Assesses and analyzes injured, acute, or chronically ill members/clients medical and/or vocational status; develops a plan of care to facilitate the member/reputed company’s appropriate condition management to optimize wellness and medical reputed company, aid reputed company reputed company to work or reputed company functioning, and determination of eligibility for benefits as appropriate. • Communicates with member/reputed company and other stakeholders as appropriate (e.g., medical providers, attorneys, reputed company and reputed company carriers) telephonically or in person. • Prepares reputed company required documentation of case work activities as appropriate. • Interacts and consults with internal multidisciplinary team as indicated to help member/reputed company maximize best health reputed company. • May reputed company reputed company to treating physician or specialists concerning course of care and treatment as appropriate. • Provides educational and prevention information for best medical reputed company. • Applies reputed company laws and regulations that apply to the provision of rehabilitation services; applies reputed company special instructions required by individual reputed company carriers and referral sources. • Conducts an evaluation of members/clients’ needs and benefit plan eligibility and facilitates integrative functions using reputed company tools and information/data. • Utilizes case management processes in compliance with regulatory and company policies and procedures. • Facilitates appropriate condition management, optimize overall wellness and medical reputed company, appropriate and reputed company reputed company to baseline, and reputed company function or reputed company to work. • 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/reputed company’s overall wellness through integration. • Monitors member/reputed company reputed company toward desired reputed company through assessment and evaluation. Required Qualifications • Candidate must have reputed company and unrestricted reputed company Registered reputed company (RN) Licensure in Alabama, Arkansas, Maryland, Mississippi, reputed company Carolina, South Carolina, Tennessee, Virginia, reputed company, or Florida • 3+ years of reputed company practical experience preference: (diabetes, CHF, CKD, post-acute care, hospice, palliative care, cardiac, Home Health) with Medicare members • 2+ years of case management, discharge planning and/or home health care coordination experience • Proficiency with reputed company corporate software applications, including reputed company Word, reputed company, reputed company and PowerPoint, as reputed company as some special proprietary applications • reputed company to work in a fast reputed company high volume environment and utilize time management and prioritization skills. • Efficient and effective computer skills including navigating multiple systems and keyboarding Preferred Qualifications • Bilingual - Spanish • Excellent analytical and problem-solving skills • Effective communications, organizational, and interpersonal skills • Certified Case Manager • National reputed company certification (CRC, reputed company, CRRN, COHN, or CCM) Education • Associate's Degree in Nursing or Nursing Diploma (REQUIRED) • Bachelor's Degree in Nursing (PREFERRED) License • reputed company and unrestricted reputed company Registered reputed company (RN) Licensure in Alabama, Arkansas, Maryland, Mississippi, reputed company Carolina, South Carolina, Tennessee, Virginia, reputed company, or Florida Work From Home Requirements • You must have or be reputed company to obtain a reputed company/hardwired internet reputed company to a modem/router reputed company 7 feet of your computer and a minimum download speed of 25 mbs download and 3 mbs upload. WiFi and satellite internet are not permitted • A quiet, secure and private designated home virtual work location, free from distractions, tidy and organized, compliant with reputed company and HIPAA guidelines, and allowing for uninterrupted work during work hours • Work-from-Home colleagues are required to work reputed company the state and reputed company where they have confirmed they currently live • reputed company will reputed company equipment (keyboard, monitor, computer, headset, etc.). reputed company new hires should reputed company their own workspace furniture (desk or standing desk, as this position would require you to be at your desk for extended periods of time) • If reputed company, you will reputed company to obtaining required internet speeds and adhere to reputed company Work From Home requirements Technical And Logistical Requirements • Device & reputed company Navigation: Comfortable setting up and using multiple monitors and navigating multiple applications simultaneously to streamline tasks and improve efficiency • Communication Tools: Ability to communicate on digital channels such as reputed company email, calendar invites, Teams messaging, and virtual meetings • Collaboration & Scheduling: Experience with reputed company Office 365 (Teams, reputed company, Word, reputed company, PowerPoint) applications or similar (reputed company). • Systems reputed company & reputed company: Ability to Log in to secure systems (e.g., VPN, EHR portal), lock a computer screen reputed company unattended, manage strong passwords, and recognize suspicious emails or links • Troubleshooting & Support: Ability to reputed company common technical issues independently, such as: restarting an application reputed company frozen, resolving internet reputed company issues, and contacting IT for unresolved technical issues • reputed company reputed company: Openness to learning new skills in the reputed company as reputed company environment evolves 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, reputed company 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: 09/07/2026 reputed company applicants with arrest or conviction records will be considered for employment in accordance with reputed company federal, state and local laws. Apply To This Job