15 часов назад
Care Manager, Telephonic Registered Nurse
71 100 - 97 800$
Мэтч & Сопровод
Для мэтча с этой вакансией нужен Plus
Описание вакансии
Текст:
TL;DR
Care Manager, Telephonic Registered Nurse (Medicare Care Management): Supporting Medicare members with transitional care needs and complex chronic conditions through telephonic assessment, individualized care planning, and care coordination with an accent on chronic-condition management, clinical judgment, and addressing social and functional barriers. Focus on developing interventions that improve health outcomes, prevent avoidable hospitalizations, and help members remain independent at home.
Location: Remote Kentucky, United States. Remote work from a dedicated home office is required; occasional travel to offices for training or meetings may be required. Training and work schedules follow Eastern or Central Time requirements.
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, Medicaid, military, individual, and family members.
What you will do
- Support Medicare members with transitional care needs and complex chronic conditions by telephone.
- Assess physical, environmental, behavioral, psychosocial, and clinical needs.
- Develop, implement, monitor, and adjust individualized care plans and interventions.
- Coordinate care with members, families, interdisciplinary teams, and healthcare, community, and social service resources.
- Identify barriers and risk factors, applying interventions to prevent avoidable hospitalizations and emergency department utilization.
- Make independent clinical decisions in a structured, fast-paced telephonic care management environment.
Requirements
- Active, unrestricted Registered Nurse license in the state of residence with active Compact Multistate licensure and no disciplinary action.
- At least three years of acute clinical care experience, including case management, discharge planning, and adult patient education.
- Clinical expertise in chronic-condition assessment, care coordination, clinical intervention, and individualized care planning.
- Strong clinical assessment, critical-thinking, decision-making, communication, and relationship-building skills.
- Proficiency with Microsoft Word, Excel, and Outlook, including simultaneous navigation of multiple systems and applications.
- Ability to work the required Eastern or Central Time schedule from a dedicated, interruption-free home workspace and protect member PHI/HIPAA information.
Nice to have
- BSN or MSN degree.
- Managed care experience.
- Certified Case Manager (CCM) certification.
- Bilingual English and Spanish communication skills without limitations or assistance.
Culture & Benefits
- Person-centered care focused on helping adults remain independent at home.
- Structured remote, work-at-home environment with limited day-to-day schedule flexibility.
- Full-time schedule of 40 hours per week.
- Medical, dental, and vision benefits; 401(k); paid time off and holidays; paid parental and caregiver leave; disability and life insurance.
- Home internet requirement of at least 25 Mbps download and 10 Mbps upload.
Hiring process
- The first four weeks require full attendance from 8:30 AM to 5:00 PM Eastern Time; no time off is permitted during the initial training month.
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