Field Care Manager, Nurse
Мэтч & Сопровод
Для мэтча с этой вакансией нужен Plus
Описание вакансии
Location: Remote from Illinois or a border state within a commutable distance of Illinois; requires up to 25% field travel and occasional onsite meetings at locations in Illinois. Work hours are Monday-Friday, 8:00 AM-5:00 PM CST, with some schedule flexibility based on business needs.
Salary: $71,100-$97,800 per year, plus eligibility for a bonus incentive plan.
Company
is a U.S. healthcare company providing insurance and healthcare services to Medicare and Medicaid members, families, individuals, and communities.
What you will do
- Coordinate care for members with acute, chronic, complex, behavioral health, and medically fragile conditions.
- Conduct telephonic and face-to-face assessments and health risk evaluations across the lifespan.
- Create individualized care plans and coordinate medical, behavioral, functional, and psychosocial services.
- Identify and resolve barriers to care while monitoring progress toward desired outcomes.
- Collaborate with members, caregivers, providers, medical directors, interdisciplinary teams, and community resources.
- Maintain contractual and regulatory compliance while making independent decisions within established guidelines.
Requirements
- Must reside in Illinois or a border state within a commutable distance of Illinois.
- Associate degree in nursing and at least 3 years of nursing experience, including 2 years of care management experience.
- At least 1 year of acute care clinical experience in an approved setting such as a hospital, emergency department, home health, rehabilitation, ambulatory care, behavioral health, case management, disease management, utilization management, or clinical triage.
- Knowledge of community health, social service agencies, and community resources.
- Ability to use electronic medical records and other electronic information systems, with strong keyboard and web navigation skills.
- Valid state driver's license, personal vehicle liability insurance, and willingness to travel up to 25%.
Nice to have
- Bachelor of Science in Nursing and 3+ years of in-home assessment and care coordination experience.
- Managed care, health promotion, coaching, wellness, and chronic or complex condition management experience.
- Case management, Motivational Interviewing, CCM, ACM, or related certification.
- Bilingual ability in Spanish, Arabic, Vietnamese, or another language.
- Experience working with diverse populations across the lifespan.
Culture & Benefits
- Remote work with field-based member and care-team interactions and occasional travel to Illinois offices for training or meetings.
- Dedicated home workspace and internet service with minimum speeds of 25 Mbps download and 10 Mbps upload are required to protect member PHI and HIPAA information.
- Medical, dental, and vision coverage; 401(k) retirement savings plan; paid time off; company and personal holidays; and paid parental and caregiver leave.
- Short- and long-term disability, life insurance, and other whole-person wellness benefits.
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