3 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): Coordinating care, resources, and services for selected member populations with an accent on comprehensive assessments, individualized care plans, and clinical outcomes. Focus on evaluating medical necessity, monitoring high-risk cases, facilitating care across healthcare settings, and resolving barriers to treatment goals.
Location: Remote Flex - North Carolina, United States. Remote work is expected with a few in-office visits each year; candidates may apply from eligible states listed on the posting. 's headquarters are in Durham.
Salary: $73,698.00–$117,917.00 annually, plus an annual incentive bonus.
Company
provides health insurance and healthcare services focused on improving care and supporting communities.
What you will do
- Coordinate care, resources, and services for members as part of a multidisciplinary team.
- Conduct comprehensive clinical assessments and develop individualized, member-centered care plans.
- Monitor progress, arrange follow-ups and referrals, provide education, and modify care goals as needed.
- Facilitate care across physician offices, hospitals, rehabilitation units, skilled nursing facilities, and home care.
- Evaluate medical necessity, treatment alternatives, benefits, and available community resources.
- Document assessments, interventions, outcomes, and care-plan changes; develop policies or training materials when needed.
Requirements
- Registered Nurse with at least 3 years of clinical and/or case management experience.
- Valid North Carolina or compact multistate clinical licensure required and must be maintained.
- Additional specialty certification, such as CCM or CDCES, may be required for some roles and must be obtained within two years when applicable.
- Employment authorization sponsorship is not available.
Culture & Benefits
- Remote Flex arrangement with occasional in-office visits and flexibility based on the nature of the work.
- Medical, dental, and vision coverage with health and wellness programs.
- Paid time off, parental leave, adoption and surrogacy assistance.
- Career development programs and tuition reimbursement.
- 401(k) match, annual company contribution, and potential annual incentive bonus.
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