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3 дня назад

Case Manager (Healthcare)

73 698 - 117 917$
Формат работы
remote (только USA)
Тип работы
fulltime
Грейд
middle
Английский
b2
Страна
US
Вакансия из списка Hirify.GlobalВакансия из Hirify Global, списка международных tech-компаний
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Описание вакансии

Текст:
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TL;DR
Case Manager (Healthcare): Coordinating care, resources, and services for selected member populations with an accent on comprehensive clinical assessments, member-centered care plans, and utilization monitoring. Focus on evaluating medical necessity, managing care across the continuum, and documenting interventions and outcomes for high-risk and high-utilization members.

Location: Remote Flex - North Carolina, United States; virtual work with a few in-office visits each year depending on distance from the Durham headquarters. Must work Monday-Friday between 8:00am and 7:00pm EST.

Salary: $73,698-$117,917 annually, plus an annual incentive bonus and benefits.

Company

hirify.global provides health insurance and healthcare services focused on improving care delivery and supporting communities.

What you will do

  • Coordinate care, resources, and services for members as part of a multidisciplinary healthcare team.
  • Perform comprehensive clinical assessments and develop member-centered treatment, intervention, and discharge plans.
  • Monitor member progress, conduct follow-ups, provide education, make referrals, and modify care goals as needed.
  • Evaluate and facilitate care across physician offices, hospitals, rehabilitation units, skilled nursing facilities, and home care.
  • Assess medical necessity, treatment alternatives, benefit options, and barriers to achieving care goals.
  • Document assessments, care plans, interventions, monitoring activities, and outcomes; develop procedures or training when needed.

Requirements

  • Registered Nurse with at least three years of clinical and/or case management experience.
  • Valid North Carolina or compact multi-state clinical licensure required.
  • Additional specialty certification such as CCM or CDCES required within two years of hire.
  • Must be able to work Monday-Friday between 8:00am and 7:00pm EST.
  • Employment authorization sponsorship is not available.

Culture & Benefits

  • Remote Flex work with flexibility, autonomy, and occasional in-office connection.
  • Medical, dental, and vision coverage with health and wellness programs.
  • Parental leave, adoption assistance, and surrogacy assistance.
  • Career development programs and tuition reimbursement.
  • 401(k) match, annual company contribution, and paid time off.

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