Case Manager - Registered Nurse (Remote - CST, Compact RN License)
Core
Facilitate delivery of appropriate benefits and healthcare information, determine eligibility, and promote wellness activities to ensure successful member return to work.
Role type
Senior Registered Nurse Case Manager
Builds
Health strategies, tactics, policies, and programs for member wellness and return to work
Domain
US Healthcare / Case Management
Required skills
Clinical practical experience (diabetes, CHF, CKD, post-acute care, hospice, palliative care, cardiac), Case management, Discharge planning, Home health care coordination, Associate's Degree in Nursing, Active Compact RN License
Preferred skills
Bilingual, National professional certification (CRC, CDMS, CRRN, COHN, CCM), Bachelor's Degree in Nursing, Multi-state RN license capability
Technologies
Microsoft Office 365, Teams, Outlook, EHR portals, VPN
Responsibilities
Develop and implement health strategies and policies, manage network and clinical coverage, coordinate discharge planning and home health care, determine benefit eligibility
Seniority
Mid-Senior level, hands-on IC