Case Manager Registered Nurse - Medicare (Remote)

Program Overview

• Join our Community Care team as an industry leader serving members with best-in-class operating and clinical models.
• Collaborate with members, providers, and community organizations to address health care and social determinant needs.

Position Summary

• Utilize a collaborative process of assessment, planning, facilitation, care coordination, evaluation, and advocacy.
• Promote quality and cost-effective outcomes for individuals and families.

Required Qualifications

• Active and unrestricted RN Compact licensure.
• Minimum 3+ years clinical practical experience (Diabetes, CHF, CKD, post-acute care, hospice, palliative care, cardiac) with Medicare members.
• Minimum 2+ years Case Management, discharge planning, and/or home health care coordination experience.

Preferred Qualifications

• Certified Case Manager (CCM) or additional national professional certification (CRC, CDMS, CRRN, COHN).
• Excellent analytical, problem-solving, communication, and interpersonal skills.
• Proficiency with MS Word, Excel, Outlook, and PowerPoint.

Education

• Associate's degree or Nursing diploma required.
• Bachelor’s degree preferred.