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Care Manager RN (Pittsburgh, Philadelphia, Lehigh Valley)

Remote, USA Full-time Posted 2026-07-28
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

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