Field RN Case Manager; live in Barry, Van Buren, Kalamazoo, Calhoun, Branch, St Joseph, Cass, or Berrien

Job Title: Field RN Case Manager

Pay: $44.14 an hr | Bi-weekly

Job Type:

• Hybrid position - field and remote
• County locations: Must live in Barry, Van Buren, Kalamazoo, Calhoun, Branch, St Joseph, Cass, and Berrien Counties)

Shift Options:

• Monday-Friday 8am-5pm EST

Field RN Case Manager Overview:

• The Case Manager utilizes a collaborative process of assessment, planning, facilitation and advocacy for options and services to meet an individual's benefit plan and/or health needs through communication and available resources to promote optimal, cost-effective outcomes. Requires an RN with unrestricted active license
  
  Through the use of clinical tools and information/data review, conducts comprehensive assessments of referred member's needs/eligibility and determines approach to case resolution and/or meeting needs by evaluating member's benefit plan and available internal and external programs/services Application and/or interpretation of applicable criteria and guidelines, standardized case management plans, policies, procedures, and regulatory standards while assessing benefits and/or member's needs to ensure appropriate administration of benefits Utilizes case management and quality management processes in compliance with regulatory and accreditation guidelines and company policies and procedures