
Registered Nurse Care Manager
Posted 3 days ago

Posted 3 days ago
This is a fully remote position, open to applicants in Wisconsin.
• Evaluate the health and safety requirements of members to create detailed Member Care Plans.
• Perform routine health assessments.
• Collaborate with acute and primary care providers.
• Educate members regarding disease processes, risks, nutrition, exercise, and lifestyle changes.
• Maintain documentation in member files within the required DHS contract deadlines.
• Engage in monthly communication with members via phone.
• Travel to members' locations for face-to-face visits.
• Conduct record reviews for reassigned members and identify areas needing remediation.
• Complete documentation for any evident record remediation during reviews.
• Notify newly assigned RNs and Care Coach partners of any missed or necessary follow-ups.
• Assign tasks in the D365 system as required.
• Provide assistance for record review and remediation processes.
• Support the team during changes in processes.
• Accept additional complex member assignments.
• Offer assistance with new member assignments.
• Alert Managers about significant risks or concerns discovered during record reviews.
• Associate degree in nursing.
• Licensed Registered Nurse in Wisconsin (in good standing).
• Preferred: 1 year of experience in Care Management.
• Preferred: Reside within a 45-minute radius of the assigned coverage area.
• Valid state driver's license.
• Proof of personal vehicle liability insurance with minimum limits of 100/300/100.
• Must pass TB screening if selected.
• Home internet connection with a minimum download speed of 25 Mbps and upload speed of 10 Mbps.
• A dedicated workspace free from ongoing interruptions to protect member PHI/HIPAA information.
• Ability to travel up to 40% of the time.
• Availability Monday through Friday, 8:00 am–4:30 pm CST.
• Bonus incentive plan based on both company and/or individual performance.
• Medical, dental, and vision benefits.
• 401(k) retirement savings plan.
• Paid time off.
• Company and personal holidays.
• Paid parental and caregiver leave.
• Short-term and long-term disability coverage.
• Life insurance.
• Mileage reimbursement for work-related travel.
• Option for remote work from home.
• No night or weekend shifts.
Milpark School of Commerce
Mercor
Turnover Recruitment
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