Case Manager, Registered Nurse

About the role

We're expanding our commitment to health and care, and we need someone like you to join our Community Care team. As a key member of our team, you'll play a vital role in improving the health and wellbeing of our members.

Responsibilities

• Liaise with members, providers, and community organizations to address comprehensive health needs.
• Implement and coordinate case management activities for catastrophic cases and chronically ill members.
• Communicate with members, clients, and stakeholders to ensure timely return to work or optimal functioning.
• Prepare required documentation and interact with internal multidisciplinary teams to enhance health outcomes.
• Evaluate members' needs and benefit plan eligibility, facilitating integrative functions using clinical tools.
• Monitor member/client progress towards desired outcomes through assessment and evaluation.

Requirements

• Active and unrestricted Compact Registered Nurse (RN) licensure in Alabama, Arkansas, Maryland, Mississippi, North Carolina, South Carolina, Tennessee, Virginia, Georgia, or Florida.
• 3+ years of clinical practical experience, preferably in diabetes, CHF, CKD, post-acute care, hospice, palliative care, cardiac, Home Health, and case management.
• 2+ years of case management, discharge planning, and/or home health care coordination experience.
• Proficiency with standard corporate software applications, including Microsoft Word, Excel, Outlook, and PowerPoint.
• Efficient and effective computer skills, including navigating multiple systems and keyboarding.

Qualifications

• Bachelor's Degree in Nursing preferred.
• Associate's Degree in Nursing required.
• Active and unrestricted Compact Registered Nurse (RN) licensure in Alabama, Arkansas, Maryland, Mississippi, North Carolina, South Carolina, Tennessee, Virginia, Georgia, or Florida.
• Experience with standard corporate software applications, including Microsoft Word, Excel, Outlook, and PowerPoint.
• Effective communications, organizational, and interpersonal skills.
• Certified Case Manager (CRC, CDMS, CRRN, COHN, or CCM) preferred.

Skills

Strong communication, problem-solving, and time management skills are essential. Proficiency with case management processes and regulatory requirements is also crucial.

Benefits

We offer a comprehensive benefits package including medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and more. Details are provided during the application process and on Benefits Moments.