Case Manager RN - Remote Eligible

✨ About The Role

- The Case Manager RN will facilitate the delivery of appropriate benefits and healthcare information to determine eligibility for benefits while promoting wellness activities. - The role involves developing, implementing, and supporting health strategies, policies, and programs to ensure the delivery of benefits and establish overall member wellness. - The position requires working Monday to Friday from 8 AM to 5 PM CST, with flexibility needed to meet business needs. - The candidate will be responsible for network management, clinical coverage, and policy implementation. - The role may require obtaining multi-state RN licenses, with the company reimbursing the expense.

⚡ Requirements

- The ideal candidate will have an active and good standing RN Compact License. - A minimum of 3 years of clinical practical experience is required, with a preference for backgrounds in diabetes, CHF, CKD, post-acute care, hospice, palliative care, and cardiac care with Medicare members. - Candidates should possess at least 2 years of experience in case management, discharge planning, or home health care coordination. - Strong analytical and problem-solving skills are essential for success in this role. - Effective communication, organizational, and interpersonal skills are necessary to work independently and meet business needs.