Description
We're building a world of health around every individual , shaping a more connected, convenient, and compassionate health experience.
As Case Manager RN, you will be responsible for assessing, planning, implementing, and coordinating all case management activities with members to evaluate the medical needs of the member and facilitate the member's overall wellness.
Responsibilities
- Use clinical tools and information/data review to conduct an evaluation of members' needs and benefits.
- Apply clinical judgment to incorporate strategies designed to reduce risk factors and barriers and address complex health and social indicators which impact care planning.
- Conduct assessments that consider information from various sources to address all conditions including co-morbid and multiple diagnoses that impact functionality.
- Use a holistic approach to assess the need for a referral to clinical resources and other interdisciplinary team members.
- Collaborate with supervisor and other key stakeholders in the member's healthcare in overcoming barriers in meeting goals and objectives.
- Utilize case management processes in compliance with regulatory and company policies and procedures.
- Utilize motivational interviewing skills to ensure maximum member engagement and discern their health status and health needs based on key questions and conversation.
- Work on behalf of the client and the member's provider.
Requirements
- Registered Nurse with an unrestricted nursing license with multi-state/compact privileges.
- Must live in MT or PST zones.
- 3+ years clinical/nursing practice experience.
- 1+ year(s) of medical case management experience, care coordination or discharge planning.
- High-speed internet and ability to hardwire computer.
- 3+ years of experience with personal computers, keyboarding, multi-systems navigation, and MS Office Suite applications.
Work from Home Requirements
- Direct/hardwired internet connection to a modem/router within 7 feet of computer.
- Quiet, secure, and private designated home virtual work location.
- Minimum download speed of 25 mbs and 3 mbs upload.
Technical and Logistical Requirements
- Comfortable setting up and using multiple monitors and navigating multiple applications simultaneously.
- Ability to communicate on digital channels such as via email, calendar invites, Teams messaging, and virtual meetings.
- Experience with Microsoft Office 365 (Teams, Outlook, Word, Excel, PowerPoint) applications or similar.
- Ability to log into secure systems and manage strong passwords.
Benefits
- Medical, dental, and vision coverage.
- Paid time off.
- Retirement savings options.
- Wellness programs.