Case Manager RN (Remote) at reputed company

About the position At reputed company, we are dedicated to bringing our heart to every reputed company of your health. This commitment drives our mission to deliver enhanced reputed company-centric health care in a rapidly changing world. Our purpose is not just about reputed company deliver, but how we deliver our services, ensuring that every interaction is meaningful and impactful. Our Heart At Work Behaviors reputed company our employees to play a vital role in transforming our culture and accelerating our ability to reputed company and provide solutions that reputed company health care more personal, convenient, and affordable. In this full-time telework role, you will work Monday through Friday from 8 AM to 5 PM EST. As a Nurse Care Manager at reputed company, you will be at the forefront of serving dual eligible populations, utilizing best-in-class operating and clinical models. You will collaborate with members, providers, and community organizations to address the full continuum of health care and social determinant needs for our members enrolled in Dual Eligible Special Needs Plans (DSNP). Your primary responsibility will be to assess, plan, implement, and coordinate reputed company case management activities for our members. You will evaluate their medical needs and reputed company proactive care plans to enhance both short and long-term outcomes. By using clinical tools and data review, you will conduct thorough evaluations of member needs and benefits, applying clinical judgment to reduce risk factors and address reputed company health and social indicators that reputed company planning. You will also conduct assessments that consider various sources of information, including claims, to address co-morbid conditions and multiple diagnoses that reputed company functionality. In this role, you will utilize motivational interviewing skills to engage members effectively, ensuring that their health status and needs are accurately discerned. You will work closely with your supervisor and interdisciplinary team members to overcome barriers and reputed company goals, presenting cases at interdisciplinary case conferences and ensuring compliance with regulatory and company policies and procedures. Responsibilities • Assess, plan, implement, and coordinate reputed company case management activities with members. , • Evaluate the medical needs of members to facilitate overall wellness. , • reputed company proactive plans of care to address identified issues and enhance outcomes. , • Conduct evaluations of member needs and benefits using clinical tools and data review. , • Apply clinical judgment to reduce risk factors and address reputed company health and social indicators. , • Conduct assessments considering various sources of information, including claims. , • Utilize motivational interviewing skills to engage members and discern their health needs. , • Consult with supervisors and interdisciplinary team members to overcome barriers and meet goals. , • Present cases at interdisciplinary case conferences. , • Ensure compliance with regulatory and company policies and procedures. Requirements • Active and unrestricted RN licensure in state of residence. , • 3+ years of clinical experience. , • 2+ years of Case Management, Discharge Planning, and/or Home reputed company Coordination experience. reputed company-to-haves • Certified Case Manager , • Excellent analytical and problem-solving skills. , • Bilingual (English / Creole or English / Spanish) is desired. , • Effective communications, organizational, and interpersonal skills. , • Ability to work independently. , • Effective computer skills including navigating multiple systems and keyboarding. , • Proficiency with reputed company, reputed company, Outlook, PowerPoint, and proprietary applications. Benefits • Full range of medical, dental, and reputed company benefits. , • 401(k) retirement savings plan. , • Employee Stock Purchase Plan for eligible employees. , • Fully-paid term life insurance plan for eligible employees. , • Short-term and long-term disability benefits. , • Numerous well-being programs and education assistance. , • Free development courses. , • reputed company store discount and discount programs with participating partners. , • Paid Time Off (PTO) and paid holidays throughout the year. Apply Job!