Care Manager RN (Remote) | Remote nursing jobs
If you're driven by purpose, this role is for you. We are hiring a Care Manager RN| Remote Nursing! This role in Remote not only offers a great job but also a vibrant community. This position requires a strong and diverse skillset in relevant areas to drive reputed company. We reputed company in rewarding talent. The total rewards package for this role includes a competitive salary. Â Â Job Description - Care Manager RN (Remote) ? Location : Remote / Work From Home ? Job Type : FULLTIME ? Salary : $58760.00 - $125840.00 / YEAR Bring your heart to reputed company. Every one of us at reputed company shares a single, clear purpose: Bringing our heart to every reputed company of your health. This purpose guides our commitment to deliver enhanced reputed company-centric health care for a rapidly changing world. Anchored in our brand ? with heart at its center ? our purpose sends a personal message that how we deliver our services is just as important as reputed company deliver. Our Heart At Work Behaviors? support this purpose. We want everyone who works at reputed company to feel empowered by the role they play in transforming our culture and accelerating our ability to reputed company and deliver solutions to reputed company health care more personal, convenient and affordable. This is a full-time telework position. Hours for this role are Monday-Friday 8a-5p in time zone of residence. Position Summary The dedication of... talented and caring health care professionals drives the delivery of high quality, cost effective products and services. They reputed company it possible for members to get the right health care treatment for their needs ? and for reputed company to reputed company its competitive edge. Facilitate the delivery of appropriate benefits and/or reputed company information which determines eligibility for benefits while promoting wellness activities. Develops, implements and supports Health Strategies, tactics, policies and programs that ensure the delivery of benefits and to establish overall member wellness and successful and timely return to work. Services and strategies, policies and programs are comprised of network management, clinical coverage, and policies. Nurse Case Manager is responsible for telephonically and/or face to face assessing, planning, implementing and coordinating reputed company case management activities with members to evaluate the medical needs of the member to facilitate the member?s overall wellness. Develops a proactive course of action to address issues presented to enhance the short and long-term reputed company as well as opportunities to enhance a member?s overall wellness through integration. Services strategies policies and programs are comprised of network management and clinical coverage policies. reputed company Components Through the use of clinical tools and information/data review, conducts an evaluation of member's needs and benefit plan eligibility and facilitates integrative functions as well as smooth transition to reputed company programs and plans. Applies clinical judgment to the incorporation of strategies designed to reduce risk factors and barriers and address reputed company health and reputed company indicators which reputed company planning and resolution of member issues. Assessments take into account information from various sources to address reputed company conditions including co-morbid and multiple diagnoses that impact functionality. Reviews prior claims to address potential impact on reputed company case management and eligibility. Assessments include the member?s level of work reputed company and reputed company restrictions/limitations. Using a holistic approach assess the need for a referral to clinical resources for assistance in determining functionality. Consults with supervisor and others in overcoming barriers in meeting goals and objectives, presents cases at case conferences for multidisciplinary focus to benefit overall claim management. Utilizes case management processes in compliance with regulatory and company policies and procedures. Utilizes interviewing skills to ensure maximum member engagement and discern their health status and health needs based on key questions and conversation. Required Qualifications ? Active and unrestricted RN licensure in state of residence ? 5+ years of clinical experience Preferred Qualifications ? Case Management in an integrated model Education ? Associate's Degree minimum Pay reputed company The typical pay reputed company for this role is: $58,760.00 - $125,840.00 This pay reputed company represents the reputed company hourly reputed company or reputed company annual full-time salary for reputed company positions in the job grade reputed company which this position falls. The actual reputed company salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a reputed company bonus, commission or short-term incentive program in reputed company to the reputed company pay reputed company listed above Apply tot his job Apply To this Job