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RN Case Manager
1 month ago
Why Join Us?
At our organization, we're dedicated to transforming healthcare delivery. We foster a collaborative environment where your expertise as a Registered Nurse will contribute directly to improving patient wellness and autonomy.
What You'll Be Doing
Responsibilities
As a Registered Nurse Case Manager, you will play a crucial role in managing member care effectively and efficiently within our Population Health Management Program. Your responsibilities will include:
Utilizing data analysis to determine member eligibility for our program
Coordinating timely and member-centric care following HMO processes
Managing case assignments from outreach to closure, ensuring documentation and monitoring compliance
Conducting clinical reviews, assessments, and medical documentation in accordance with regulatory standards
Assisting members in overcoming healthcare barriers and achieving their health-related goals
Educating members on navigating the healthcare system and promoting cost-effective interventions
Supporting departmental operations and meeting client expectations through effective collaboration and reporting
What You'll Need to Have
Current IL Registered Nurse License (20 hours of CE per 2-year renewal cycle required)
Minimum Five Years Of Diverse Healthcare Experience
Strong knowledge of case management principles, healthcare management, and reimbursement
Proficiency in motivational interviewing and excellent clinical judgment
Outstanding organizational, problem-solving, and time management skills
Ability to thrive in a fast-paced, remote work environment and manage multiple tasks effectively
Proficiency with Microsoft Office Suite (Word, Excel, Outlook, etc.) and EMR systems
Reliable high-speed internet connection and a private home office setup
Preferred Qualifications
Experience in utilization review, quality improvement, managed care, or community health
Previous remote or telephonic work experience
Familiarity with multiple EMR systems
Compensation And Benefits
We offer a competitive salary range of $70,000 to $75,000 per year, paid bi-weekly. Our comprehensive benefits package includes medical, dental, vision plans, long and short-term disability, life insurance, and a 401k plan with generous matching. Additionally, we provide paid time off, including holidays, and flexible working arrangements to support work-life balance.
Our Commitment to Equal Opportunity Employment
Diversity, inclusion, and belonging are fundamental to our values. We are an equal opportunity employer and strive to create an inclusive workplace where everyone feels valued and respected.
Ready to Make a Difference?
If you're passionate about transforming healthcare and helping patients achieve better outcomes, apply now We look forward to welcoming driven professionals who share our commitment to improving healthcare delivery.
Employment Type: Full-Time