Case Management Nurse

This is a fully remote position, open to applicants in United States.

📋 Description

• Oversee and coordinate healthcare services to guarantee comprehensive, patient-focused care.

• Evaluate patients’ medical requirements and formulate personalized care plans.

• Advocate for patients’ rights, preferences, and their access to suitable services.

• Track patient progress, adherence to care plans, and the effectiveness of interventions.

• Modify care plans and interventions as needed.

• Accurately and promptly document assessments, care plans, and outcomes.

• Create reports on patient status, care outcomes, and resource usage.

• Educate patients about medications, treatment plans, and self-care strategies.

• Offer emotional support and counseling to patients and their families.

• Encourage preventive care and wellness through health education and lifestyle advice.

• Ensure compliance with URAC standards, CMSA Standards of Practice, relevant regulations, and Valenz policies.

• Collaborate with internal teams to discover potential savings in health plan coverage.

• Perform additional duties as assigned.

⛳️ Requirements

• Active, unrestricted Registered Nurse (RN) license in the state of residence.

• Compact License (NLC) accepted if residing in a compact state.

• Minimum of 3 years of nursing experience in an acute care environment.

• Ability to thrive in a deadline-oriented setting.

• Strong organizational skills and attention to detail.

• Critical thinking and sound judgment in complex scenarios.

• Appropriate escalation of issues as necessary.

• Excellent communication and interpersonal abilities.

• Collaborative approach to care coordination.

• A quiet workspace free from distractions.

• Reliable internet connection.

• Compliance with company security protocols, including VPNs, secure passwords, and approved devices/software.

• Must be based in the US and adhere to company policies such as HIPAA.

• Experience in case management is a plus.

• Bilingual in Spanish is an advantage.

• Relevant certifications, such as CCM or CCP, are a plus.

• Willingness to obtain CCM certification within 18 months of hire is a plus.

🏝️ Benefits

• Generous compensation reflective of experience and performance.

• Competitive benefits package with substantial employer subsidies.

• Flexible and remote working arrangements.

• 401k plan with generous employer matching and immediate vesting.

• Opportunities for personal and professional development.

• Supportive family benefits, including paid leave for new family members.

• Companywide philanthropic program, Valenz Communities Connection.

• Fully remote position with necessary equipment provided.

• Medical, Dental, and Vision insurance options.

• HSA, FSA, and DCFSA spending account options.

• Flexible working environment.

• Generous Paid Time Off, including vacation, sick leave, and paid holidays.

• Employee Assistance Program offering professional counseling, referrals, and additional services.

• Paid maternity and paternity leave.

• Pet insurance.

• Employee discounts on phone plans, car rentals, and computers.

• Opportunities for community giveback, including paid time off for philanthropic activities.