4 дня назад
Case Manager (Healthcare)
73 698 - 117 917$
Мэтч & Сопровод
Для мэтча с этой вакансией нужен Plus
Описание вакансии
Текст:
TL;DR
Case Manager (Healthcare) (RN/Case Management): Coordinating care, resources, and services for selected member populations with an accent on comprehensive clinical assessments, personalized care planning, and monitoring across the continuum of care. Focus on evaluating medical necessity, addressing barriers to treatment, coordinating multidisciplinary services, and documenting outcomes for high-risk and high-utilization members.
Location: Remote Flex - North Carolina, United States. Remote work is supported with a few required in-office visits each year; the exact onsite expectations depend on the role and distance from the Durham headquarters.
Salary: $73,698.00–$117,917.00 per year, plus potential annual incentive bonus.
Company
provides health care coverage and works to improve health outcomes in the community.
What you will do
- Coordinate care, resources, and services for members as part of a multidisciplinary team.
- Perform comprehensive clinical assessments and develop member-centered treatment, intervention, and discharge plans.
- Monitor member progress, conduct follow-ups, provide education, and adjust goals or services based on changing needs.
- Coordinate care across physician offices, hospitals, rehabilitation units, skilled nursing facilities, and home care.
- Evaluate medical necessity, treatment alternatives, benefits, and available community or funding resources.
- Document assessments, care plans, interventions, monitoring activities, and outcomes; develop policies or training when needed.
Requirements
- Registered Nurse with at least 3 years of clinical and/or case management experience.
- Valid and maintained North Carolina or compact multistate clinical licensure is required.
- Additional specialty certification, such as CCM or CDCES, may be required for certain roles and must be obtained within 2 years when applicable.
- Ability to collaborate with members, families, health care providers, internal partners, and external services.
Nice to have
- Additional non-compact state nursing licenses.
- Broad clinical nursing experience across medical-surgical, ICU, emergency, pediatrics, labor and delivery, or other inpatient settings.
Culture & Benefits
- Flexible work arrangement with remote work and intentional in-person collaboration.
- Medical, dental, and vision coverage with health and wellness programs.
- Paid parental leave, adoption assistance, and surrogacy assistance.
- Career development programs and tuition reimbursement.
- 401(k) match, annual company contribution, paid time off, and potential annual incentive bonus.
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