Case Management RN

About the role

Educate members on improving health outcomes, assist with transitions from care settings, participate in process improvement and other pilot programs as they arise, and work with support teams to ensure care for our members.

You will report into the Case Management Supervisor.

Work Location

This is a remote position, open to candidates who reside in: Arizona; Florida; Georgia; or Texas. While your daily work will be completed from your home office, occasional travel may be required for team meetings and company events.

Pay

The base pay for this role is: $32.60 - $42.79 per hour.

Benefits

You are also eligible for employee benefits, monthly vacation accrual at a rate of 15 days per year.

Responsibilities

• Help coordinate care across a variety of settings (inpatient, outpatient, post acute, ER, home care)
• Reach out to members undergoing difficult health challenges and develop care plans
• Reach out to hospital case managers to assist with discharge planning
• Communicate with members by phone or secure messaging to provide education on health conditions, new medications, and procedures
• Compliance with all applicable laws and regulations
• Other responsibilities as assigned

Requirements

• Active, unrestricted RN licensure from the United States in [state], OR, active compact multistate unrestricted RN license
• Obtain additional state licenses to meet our needs
• 2+ years of clinical experience to include hospital, outpatient or community-based care management
• 1+ years of experience in Care Coordination and Navigation
• Bonus Points: BSN, Working knowledge of Milliman Guidelines, CCM Certification, Behavioral Health experience