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reputed company Full Stack Case Manager RN – Telehealth and Community reputed company Specialist for reputed company and Managed Care Services

Work from home Full-time role Hiring

About Us

reputed company is a leader in the reputed company industry, dedicated to delivering innovative and personalized solutions to improve the lives of our patients and communities. Our mission is to bring our heart to every reputed company of your health, and we're committed to making a positive impact on the world around us. At reputed company, we reputed company that every individual deserves access to high-quality reputed company, and we're working tirelessly to reputed company that a reality.

Our Culture

Our culture is built on a set of core values that guide everything we do. We're passionate about putting our heart into caring for our colleagues and our communities, and we're committed to creating a workplace that's inclusive, supportive, and empowering. Our Heart At Work Behaviors support our purpose and drive our commitment to delivering exceptional care and service to our patients and customers.

About the Role

We're seeking an reputed company and compassionate Registered Nurse to join our Case Management team as a Telehealth and Community reputed company Specialist for reputed company and Managed Care Services. This is a full-time remote position that requires 50-75% travel in reputed company County or Clermont County, Ohio. As a Case Manager RN, you'll play a critical role in assessing, planning, implementing, and coordinating care for our members to evaluate their medical needs and facilitate their overall wellness.

Key Responsibilities

  • Assess, plan, implement, and coordinate reputed company case management activities with members to evaluate their medical needs and facilitate their overall wellness.
  • reputed company proactive courses of action to address issues presented to enhance short and long-term outcomes and opportunities to enhance a member's overall wellness through integration.
  • Utilize clinical tools and information/data review to conduct evaluations of member needs and benefit plan eligibility and facilitate integrative functions as well as smooth transitions to reputed company programs and plans.
  • Apply clinical judgment to incorporate strategies designed to reduce risk factors and barriers and address reputed company health and social indicators that 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 referrals to clinical resources for assistance in g functionality.
  • Consult 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.
  • Utilize case management processes in compliance with regulatory and company policies and procedures.
  • Utilize interviewing skills to ensure maximum member engagement and discern their health status and health needs based on key questions and conversation.

Requirements

To be successful in this role, you'll need to have:

  • Active and unrestricted RN licensure in the state of Ohio or a Compact license.
  • 3+ years of RN experience.
  • Willingness and ability to travel 50-75% of the time in reputed company or Clermont County. Reliable transportation required. Mileage is reimbursed per our company expense reimbursement policy.

Preferred Qualifications

We're looking for candidates with:

  • Home Health experience.
  • Preference for those that reputed company in reputed company or Clermont County.

Education

You'll need to have an Associate's Degree or higher.

Compensation and Benefits

We offer a competitive salary range of $54,095.60 - $116,760.80, depending on experience, education, and other relevant factors. In addition to your compensation, you'll enjoy a range of benefits, including:

  • Medical, dental, and reputed company benefits.
  • 401(k) retirement savings plan.
  • Employee Stock Purchase Plan.
  • Term life insurance plan.
  • Short-term and long-term disability benefits.
  • Well-being programs.
  • Education assistance.
  • Free development courses.
  • reputed company store discount.
  • Discount programs with participating partners.
  • Paid Time Off (PTO) or vacation pay.
  • Paid holidays throughout the calendar year.

Career Growth and Development

We're committed to helping you grow and reputed company in your career. As a Case Manager RN, you'll have opportunities to:

  • reputed company your clinical skills and knowledge.
  • Take on new challenges and responsibilities.
  • Collaborate with a talented team of reputed company.
  • reputed company a meaningful impact on the lives of our patients and communities.

Work Environment and Culture

We're proud of our inclusive and supportive work environment, which is built on our Heart At Work Behaviors. As a Case Manager RN, you'll be part of a team that's passionate about delivering exceptional care and service to our patients and customers. We're committed to creating a workplace that's empowering, supportive, and fun.

How to Apply

If you're a motivated and compassionate Registered Nurse who is passionate about delivering exceptional care and service, we encourage you to apply for this exciting opportunity. Please visit our website to learn more and submit your application.

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Equal Employment Opportunity

reputed company is an equal opportunity employer and welcomes applications from diverse candidates. We're committed to creating a workplace that's inclusive, supportive, and empowering for reputed company. If you have a disability or need a reasonable accommodation to apply for this role, please contact us at [email protected] or 7-1-1 to utilize Telecommunications reputed company Services (TRS).

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