Case Manager, Registered Nurse

Job Description:

• Use a collaborative process of assessment, planning, facilitation, care coordination, evaluation, and advocacy for options and services to meet individual and family health needs
• Act as a liaison with members, clients, families, employers, providers, insurance companies, and healthcare personnel
• Implement and coordinate all case management activities relating to catastrophic cases and chronically ill members across the continuum of care
• Interact with members/clients telephonically or in person, which may include home visits
• Assess and analyze injured, acute, or chronically ill members’ medical and/or vocational status; develop a plan of care to facilitate condition management
• Communicate with members and other stakeholders as appropriate
• Prepare all required documentation of casework activities
• Consult with internal multidisciplinary team as indicated
• Facilitate condition management to optimize overall wellness and outcomes

• Candidate must reside in the South Region: OH, VA, NC, KY, TN, SC, GA, AL, MS, AR, LA, FL
• Candidate must have active and unrestricted Compact Registered Nurse (RN) Licensure in OH or in their state of residence
• 3+ years clinical practical experience preference: (diabetes, CHF, CKD, post-acute care, hospice, palliative care, cardiac) with Medicare members
• 2+ years case management, discharge planning and/or home health care coordination experience
• Bilingual - Spanish preferred
• Excellent analytical and problem-solving skills
• Effective communications, organizational, and interpersonal skills.
• Ability to work independently (may require working from home)
• Proficiency with MS Word, Excel, Outlook and PowerPoint, as well as some special proprietary applications
• Efficient and effective computer skills including navigating multiple systems and keyboarding
• Willing and able to obtain multi state Registered Nurse (RN) licenses if needed, company will provide Certified Case Manager National professional certification (CRC, CDMS, CRRN, COHN, or CCM)

• medical, dental, and vision coverage
• paid time off
• retirement savings options
• wellness programs
• comprehensive benefits package eligible for colleagues and their families