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RN Case Manager

1 month ago


Decatur, United States Get It Recruit - Transportation Full time
Join our team at a leading healthcare organization committed to enhancing healthcare affordability and improving patient outcomes. We empower our team to make a meaningful impact by leveraging advanced analytics and technology, allowing physicians to prioritize high-quality, patient-focused care.

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