Remote Case Manager RN, PA

✨ About The Role

- The Case Manager RN role is 100% remote work from home and candidates must live in the state of Pennsylvania and be licensed in the state of Pennsylvania - Responsible for telephonically and/or face to face assessing, planning, implementing, and coordinating all case management activities with members - Develops proactive courses of action to address issues presented and enhance short and long-term outcomes for members - Utilizes clinical tools and information/data review to evaluate member's needs and benefit plan eligibility - Applies clinical judgment to incorporate strategies designed to reduce risk factors and barriers impacting care planning and resolution of member issues

⚡ Requirements

- Must have an active, current and unrestricted RN licensure in the state of Pennsylvania and live in the state of Pennsylvania - 2+ years of clinical experience as an RN in various settings such as Emergency Department, Home Health, ICU, Telemetry, and more - Ability to work Monday through Friday 9:00am – 5:30pm EST zone and occasional evening, weekend, and holiday shifts - Experience with Microsoft Office Suite and willingness to obtain multiple state RN licensure if needed - Certified Case Manager (CCM) certification and managed care experience are preferred qualifications