Salary
💰 $54,095 - $155,538 per year
About the role
- Case Managers serve as dedicated advocates for members who are unable to advocate for themselves.
- Assess, plan, implement, and coordinate comprehensive case management activities.
- Evaluate members’ medical needs and facilitate services that support their overall health and well-being.
- Schedule: Monday–Friday, 8:00 AM–5:00 PM in their time zone. No nights, weekends, or holidays required.
- Conduct comprehensive assessments of members’ physical, emotional, and social needs.
- Develop and implement individualized care plans based on clinical findings and member goals.
- Coordinate services across healthcare providers, specialists, and community resources.
- Monitor and evaluate care plans regularly, adjusting as needed to improve outcomes.
- Advocate for timely and appropriate healthcare services to support member well-being.
- Document case activities, interventions, and communications accurately and in compliance with regulatory requirements.
- Collaborate with interdisciplinary teams to ensure continuity of care.
- Participate in team meetings, training sessions, and quality improvement initiatives.
- Travel locally for in-person case management activities, as directed by leadership or business needs.
Requirements
- Must be a Registered Nurse with an active state license in good standing, valid in the region where duties are performed.
- Compact RN License or license in multiple states or willing to obtain within 3-6 months.
- Bilingual proficiency required; Arabic or Spanish highly preferred. (Candidate will be required to pass a language assessment).
- 3–5 years of clinical practice experience.
- 2–3 years of experience in case management, discharge planning, or home health care coordination.
- Comfortable working remotely and independently using collaboration tools and virtual communication platforms.
- Willingness and ability to travel within a designated geographic area for onsite activities as needed.
- Preferred Qualifications BSN preferred.
- Compact RN license or licensure in multiple states.
- Strong analytical and problem-solving skills.
- Excellent communication, organizational, and interpersonal skills.
- Self-motivated and able to work independently.
- Proficient in navigating multiple systems and applications; skilled in typing and keyboard use.
- Familiarity with corporate software tools such as Microsoft Word, Excel, Outlook, PowerPoint, and proprietary applications.