Job Overview
We are seeking a dedicated Remote Nurse Case Manager to join our esteemed team. In this vital role, you will support our members by conducting comprehensive evaluations of their healthcare needs. Leveraging clinical tools, data analysis, and a thorough review of available programs and services, you will play a key role in identifying the most effective solutions to meet member requirements. Your ability to assess benefit plans and collaborate with both internal and external resources will be essential in ensuring that our members receive the necessary care and support.
Key Responsibilities
- Conduct thorough assessments to determine the needs and eligibility of referred members.
- Evaluate member benefit plans and suggest suitable resources, programs, and services to meet their individual needs.
- Implement case management guidelines and regulatory standards to guarantee appropriate benefits administration.
- Utilize case management and quality assurance processes to deliver effective care while adhering to compliance standards.
- Work collaboratively with interdisciplinary teams to ensure seamless and timely care coordination.
Required Skills
- At least 2 years of clinical practice experience, preferably in a hospital, home health, or ambulatory care setting.
- Familiarity with healthcare or managed care environments is crucial.
- Experience in case management is advantageous.
- Competency in using various computer systems and software applications.
- Strong verbal and written communication skills, with the ability to present case information clearly.
- Excellent multitasking and prioritization skills in a fast-paced, dynamic work environment.
- Ability to work independently and adjust to evolving needs.
Qualifications
- Minimum of 2 years of clinical practice experience in a relevant healthcare setting.
- A nursing degree or equivalent healthcare qualification is required by licensing standards.
Career Growth Opportunities
This position offers the potential for professional advancement, allowing you to enhance your clinical skills and deepen your case management expertise within our organization.
Company Culture And Values
We pride ourselves on fostering a supportive and flexible work environment that values work-life balance. Our team is committed to delivering high-quality care and ensuring that our members receive the best possible support.
Compensation And Benefits
- Health, dental, optical, life, and short-term disability insurance available after 90 days of employment for full-time employees.
- A 401(k) plan with company match is available after one year of service.
By joining our team, you will not only contribute positively to the lives of our members but also gain valuable experience within a reputable organization that prioritizes professional growth and networking opportunities.
Employment Type: Full-Time
