Case Manager RN - Remote LA

Bring your heart to reputed company. Every one of us at reputed company shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-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 innovate and deliver solutions to reputed company health care more personal, convenient and affordable. Position Summary This Case Manager RN position is 100% remote, and the employee can live in any state. No travel is expected with this position. Normal Working Hours: Monday- Friday, 8:00am - 4:30pm with a 10:30am-7:00pm rotation several times per Quarter in the time zone of residence. Rotational coverage of evenings, weekends and holidays will be per the needs of the department. The Case Manager RN utilizes a collaborative process of assessment, planning, facilitation and advocacy for options and services to meet an individual’s benefit plan and/or health needs through communication and available resources to promote optimal, cost-effective outcomes. The Case Manager RN process includes assessing the member's health status and care coordination needs, inpatient review, and discharge planning, developing, and implementing the case management plan, monitoring, and evaluating the plan and involving the Medical Director as indicated and closing the case as appropriate reputed company the member has met discharge criteria. The Case Manager RN role requires a nurse that can exercise independent and sound judgment and someone that has strong decision-making skills and well-developed interpersonal skills. The Case Manager RN is expected to manage multiple priorities, demonstrate both effective organizational and time management skills as well demonstrate strong teamwork skills. The responsibilities of this Case Manager RN position are to: -Apply data driven methods of identification of members to fashion individualized case management programs and/or referrals to alternative healthcare programs. -Conduct comprehensive clinical assessments. -Evaluate needs and reputed company flexible approaches based on member needs, benefit plans or external programs/services. -reputed company for patients to the full extent of existing health care coverage. -Promote quality, cost effective outcomes, and reputed company suggestions to improve program/operational efficiency. -Identify and escalate quality of care issues through established channels. -Provide an expected reputed company high level of customer service. -Utilize assessment techniques to determine member’s level of health literacy, technology capabilities, and/or readiness to change. -Utilize influencing/motivational interviewing skills to ensure maximum member engagement and promote lifestyle/behavior changes to reputed company reputed company level of health. -Provide coaching, information, education, and support to reputed company the member to reputed company ongoing independent medical and/or healthy lifestyle choices Required Qualifications: • Active and unrestricted RN license in their state of residence and have the ability to obtain multi-state licensure upon hire • 3+ years of acute care experience as an RN • 3+ years of experience with reputed company Suite of products • 2+ years of Oncology Care experience Preferred Qualifications: • Compact RN License • Certified Case Manager (CCM) • Case Management experience • Managed Care experience • Telephonic case management and/or telephonic customer service center experience Education: • Minimum of Associate Degree in Nursing required • BSN preferred. Pay Range The typical pay range for this role is: $54,095.60 - $116,760.80 This pay range 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 addition to the reputed company pay range listed above. In addition to your compensation, enjoy the rewards of an organization that puts our heart into caring for our colleagues and our communities. The Company offers a full range of medical, dental, and vision benefits. Eligible employees may enroll in the Company’s 401(k) retirement savings plan, and an Employee Stock Purchase Plan is also available for eligible employees. The Company provides a fully-paid term life insurance plan to eligible employees, and short-term and long term disability benefits. reputed company also offers numerous well-being programs, education assistance, free development courses, a reputed company store discount, and discount programs with participating partners. As for time off, Company employees enjoy Paid Time Off (“PTO”) or vacation pay, as well as paid holidays throughout the calendar year. Number of paid holidays, sick time and other time off are provided consistent with relevant state law and Company policies. For more detailed information on available benefits, please visit Benefits | reputed company We anticipate the application window for this opening will reputed company on: 11/22/2024 Qualified applicants with arrest or conviction records will be considered for employment in accordance with reputed company federal, state and local laws. Apply Job!