Case Manager, Registered Nurse

📋 Description

• Engage in a collaborative approach involving assessment, planning, facilitation, care coordination, evaluation, and advocacy for options and services to address the comprehensive health needs of individuals and families.

• Serve as a liaison among members/clients/families, employers, providers, insurance companies, and healthcare personnel as necessary.

• Implement and oversee all case management activities related to catastrophic cases and chronically ill members/clients throughout the continuum of care.

• Communicate with members/clients either via phone or in person.

• Evaluate and analyze the medical and/or vocational status of injured, acute, or chronically ill members/clients.

• Create a care plan to support the effective management of the member/client's condition.

• Maintain communication with the member/client and relevant stakeholders as needed.

• Complete all necessary documentation regarding case work activities as appropriate.

⛳️ Requirements

• Candidates must possess an active and unrestricted Compact Registered Nurse (RN) Licensure.

• A minimum of 3 years of clinical practical experience is preferred in areas such as diabetes, CHF, CKD, post-acute care, hospice, palliative care, cardiac, or Home Health involving Medicare members.

• At least 2 years of experience in case management, discharge planning, and/or home health care coordination is required.

• Proficiency in standard corporate software applications, including Microsoft Word, Excel, Outlook, and PowerPoint, along with some specialized proprietary applications.

• Ability to thrive in a fast-paced, high-volume environment while effectively managing time and prioritizing tasks.

• Strong computer skills, including the ability to navigate multiple systems and proficient keyboarding capabilities.

🏝️ Benefits

• Medical, dental, and vision coverage.

• Paid time off.

• Retirement savings options.

• Wellness programs.

• Additional resources, based on eligibility.