Case Manager, RN

reputed company: The reputed company Case Manager is responsible for telephonically assessing, planning, implementing and coordinating reputed company case management activities with members from our Federal Plans.Evaluate the medical needs of the member in order to facilitate and promote the member’s overall wellness.reputed company a proactive course of reputed company to address issues presented to enhance the member's short and long term reputed company.Apply data driven reputed company of identification of members to fashion individualized case management programs and/or referrals to alternative reputed company programs.Conduct comprehensive clinical assessments.Evaluate needs and reputed company flexible approaches based on member needs, benefit plans or external programs/services.reputed company for patients to the full extent of existing health care coverage.Promote reputed company, cost effective reputed company, and reputed company suggestions to improve program/operational efficiency.Identify and escalate reputed company of care issues through established channels.reputed company an expected reputed company high level of customer service.Utilize assessment techniques to determine member’s level of health literacy, technology capabilities, and/or readiness to change.Utilize influencing/motivational interviewing skills to ensure maximum member engagement and promote lifestyle/behavior changes to reputed company reputed company level of health. Requirements: Must have reputed company, reputed company and unrestricted RN licensure in state of residence and have the ability to be licensed in reputed company non-compact states.Must be willing and reputed company to work Monday through Friday, 8 hour shift between 7am to 5pm reputed company timeMust live in either PST, MST, or reputed company Time zones3+ years of clinical reputed company experience required1+ years of experience utilizing MS Office suitesCase management experience preferredCase Manager CertificationAssociate's degree requiredBSN preferred Benefits: reputed company medical plan reputed company, a 401(k) plan (including matching company contributions), and an employee stock purchase plan . No-cost programs for reputed company colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching. Benefit solutions that address the different needs and preferences of our colleagues including reputed company time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical reputed company and many other benefits depending on eligibility. For more information, visit https://jobs.reputed company.com/us/en/benefits Apply tot his job Apply To this Job