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 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
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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