Immediate need for a talented Telephonic Case Manager RN. This is a 06+ Months Contract opportunity with long-term potential and is located in US (Remote). Please review the job description below and contact me ASAP if you are interested.
Job ID:26-35460
Pay Range: $38.50 - $40.90/hour. Employee benefits include, but are not limited to, health insurance (medical, dental, vision), 401(k) plan, and paid sick leave (depending on work location).
Key Responsibilities:
- Manage assigned and pended worklists by conducting patient outreach and providing appropriate clinical interventions.
- Handle inbound and outbound calls to assess patient needs, provide education, and coordinate care.
- Develop, implement, and update individualized care plans based on patient needs and health goals.
- Identify barriers to care, including social determinants of health, and connect members with appropriate resources.
- Collaborate with physicians, specialists, caregivers, and internal departments to ensure quality patient outcomes.
- Monitor patient health status, follow up on changes in condition, and coordinate necessary interventions.
- Educate members and their families on disease management, treatment options, healthcare benefits, and available resources.
- Maintain accurate and timely documentation of all care management activities in accordance with regulatory and organizational standards.
- Manage daily emails, messages, assigned tasks, and required trainings.
- Participate in team meetings and ongoing training sessions.
Key Requirements and Technology Experience:
- Minimum 2 years of clinical nursing experience in an acute care, clinical, or community healthcare setting.
- At least 1 year of case management experience within a managed care environment.
- Associate Degree in Nursing (ADN) or equivalent nursing degree from an accredited institution.
- Active and unrestricted Registered Nurse (RN) license in the state of residence. Compact RN license is accepted, provided it includes the candidate's current state.
- Strong verbal and written communication skills.
- Excellent telephone assessment and patient engagement skills.
- Proficiency with computers, clinical documentation systems, and multiple technology platforms.
- Specialty pharmacy experience.
- Experience in telephonic care management and patient outreach.
- Experience managing high-volume caseloads and daily worklists.
Our client is a leading Healthcare Industry and we are currently interviewing to fill this and other similar contract positions. If you are interested in this position, please apply online for immediate consideration.
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