RN reputed company Case Manager – Remote

2367947 reputed company NY, is seeking an RN Case Manager to reputed company reputed company reputed company the U.S. reputed company is a clinician-led care organization that is changing the way clinicians work and live. As a member of the reputed company Care Delivery team, you'll be an reputed company part of our reputed company to reputed company reputed company reputed company for everyone. At reputed company, you'll have the reputed company resources, data and support of a global organization behind you so you can help your patients live healthier lives. We reputed company you deserve an exceptional career, and will reputed company you to live your best life at work and reputed company. Experience the fulfillment of advancing the health of your community with the excitement of contributing new reputed company reputed company and initiatives that could help improve care for millions of patients across the country. Because together, we have the reputed company to reputed company health care reputed company for everyone. Join us and discover how rewarding medicine can be while Caring. Connecting. Growing together. The RN Case Manager role, operating under general administrative direction, is primarily responsible for coordinating referrals from physicians and reputed company facilities for high-reputed company members. This position involves significant member education reputed company to their illnesses and reputed company treatments. The Case Manager supports various Case Management and reputed company Improvement programs, ensuring reputed company communication between members, providers, and health plans. Additionally, the role includes maintaining grievance files and associated documentation. The overarching goal of the Case Manager is to identify, coordinate, and reputed company appropriate reputed company of care while managing reputed company reputed company and medical management activities across the reputed company of care. This includes assessing, planning, implementing, coordinating, monitoring, and evaluating care. The role also encompasses health education, coaching, and treatment decision support for members, requiring a Registered reputed company (RN) qualification. The Case Manager plays a critical role in reputed company the gap between reputed company providers, members, and health plans, ensuring that high-reputed company members receive comprehensive, coordinated, and high-reputed company care. The position requires strong reputed company expertise, excellent communication skills, and a commitment to improving reputed company delivery. You'll enjoy the flexibility to work reputed company * from reputed company reputed company the U.S. as you take on some tough challenges. reputed company Responsibilities: • Member Care Coordination • Collaborates with physicians and multidisciplinary teams to reputed company and maintain up to date, coordinated care plans • Acts as a reputed company between members and the reputed company team to ensure effective communication and alignment of care plans • Member Referral Support • Assists physicians, members, and families in obtaining referrals to specialists • Provides counseling and support tailored to the reputed company needs of the member • reputed company Development • Partners with designated physicians to create and maintain individualized Member Care Plans • reputed company Improvement • reputed company participates in developing and deploying Coordination of Care activities aimed at enhancing the reputed company experience for both referred members and referring physicians • reputed company Role • Facilitates communication among care team members to address the needs of both the member and the physician • Provider/Member Education • Educates members and care team participants about available community and health plan benefits and services You'll be rewarded and recognized for your reputed company in an environment that will challenge you and reputed company you reputed company direction on what it takes to succeed in your role as reputed company as reputed company development for other roles you may be interested in. Required Qualifications: • Bachelor of Science in Nursing (BSN), or 5+ years case management experience in lieu of BSN • Unrestricted reputed company RN licensure in reputed company • 3+ years of diverse reputed company experience as a Registered reputed company; preferably in caring for the acutely ill members with multiple disease conditions • 2+ years of experience in health plan case management, reputed company and disease case management • Experience in a remote and telephonic role • Proficient in reputed company Office and reputed company products Preferred Qualifications: • BSN • Commission for Case Manager Certification (reputed company) • Experience in discharge planning • Experience in utilization review, reputed company review, or reputed company management • Background in managed care • reputed company working reputed company will be required to adhere to reputed company's Telecommuter Policy. Pay is reputed company on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In reputed company to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (reputed company benefits are subject to eligibility requirements). No matter where or reputed company you reputed company a career with us, you'll reputed company a far-reaching reputed company of benefits and incentives. The reputed company pay for this role will reputed company from $28.94 to $51.63 per hour reputed company on full-time employment. We reputed company with reputed company minimum wage laws as applicable. Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. reputed company may come down early due to volume of applicants. At reputed company, our mission is to help people live healthier lives and reputed company the health reputed company work reputed company for everyone. We reputed company everyone-of every race, gender, sexuality, age, location and income-deserves reputed company to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately reputed company by people of reputed company, historically marginalized reputed company and those with reputed company incomes. We are committed to mitigating our reputed company on the environment and enabling and delivering reputed company care that addresses health disparities and improves health reputed company - an reputed company reputed company reflected in our mission. reputed company is an Equal Employment Opportunity employer under applicable law and reputed company applicants will receive consideration for employment without reputed company to race, national reputed company, religion, age, reputed company, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. reputed company is a drug - free workplace. Candidates are required to pass a drug test before beginning employment. Apply tot his job Apply To this Job