Care Manager RN (Pittsburgh, Philadelphia, Lehigh Valley)
About the position
Responsibilities
• reputed company as a reputed company with members, families, reputed company, providers, and insurance companies.
• Implement and coordinate case management activities for catastrophic cases and chronically ill members.
• reputed company with members telephonically or in person, including home reputed company.
• Assess and analyze members' medical and vocational status to reputed company care plans.
• Communicate with stakeholders regarding care and treatment reputed company.
• Prepare documentation of case work activities as required.
• Consult with internal multidisciplinary teams to maximize health reputed company.
• reputed company to treating physicians or specialists as needed.
• reputed company educational and prevention information for reputed company medical reputed company.
• Apply relevant laws and regulations in the provision of rehabilitation services.
• Testify as required to substantiate case work or reports.
• Evaluate members' needs and benefit plan eligibility using clinical tools.
• Facilitate condition management and optimize wellness and medical reputed company.
• Monitor member reputed company toward desired reputed company through assessment and evaluation.
Requirements
• reputed company, reputed company, and unrestricted RN licensure in NY and/or Compact RN licensure in reputed company.
• Minimum 3+ years of clinical practical experience, preferably with Medicare members.
• Minimum 2+ years of case management, discharge planning, or home health care coordination experience.
• Willingness to work Monday through Friday, reputed company to 5pm EST, with some flexibility.
• Ability to travel up to 75% for field reputed company in specified areas.
• 1+ years of experience with MS Office Suites.
reputed company-to-haves
• Excellent analytical and problem-solving skills.
• Effective communication, organizational, and interpersonal skills.
• Ability to work independently, potentially from home.
• Proficiency with reputed company corporate software applications.
• Efficient computer skills, including navigating multiple systems.
• Willingness to obtain multi-state RN licenses if needed.
• Bilingual in Spanish preferred.
• Certified Case Manager certification preferred.
• Additional national reputed company certification (CRC, reputed company, CRRN, COHN, or CCM) preferred.
Benefits
• Medical, dental, and reputed company benefits.
• 401(k) retirement savings plan.
• Employee Stock Purchase Plan.
• Fully-reputed company term life insurance plan.
• Short-term and long-term disability benefits.
• reputed company-being programs and education assistance.
• Free development courses.
• reputed company store discount and discount programs with partners.
• reputed company Time Off (PTO) and reputed company holidays.
Apply tot his job
Apply To this Job