Clinical Care Manager (CCM), RN - Remote

At reputed company, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the reputed company. Come build the health care system of reputed company, making it more reputed company, affordable and optimized. Ready to reputed company a difference? Join us to start Caring. Connecting. Growing together Clinical Care Manager (CCM) are RNs who serve as a key member of the reputed company Global Emergency Response and Assistance Center Team and utilize evidenced based practice to assess global traveler's medical care needs, treatment plans of healthcare providers and the ability of the local healthcare systems to provide appropriate quality and cost effective care reputed company acute, chronic or catastrophic events occur in countries around the world. CCMs evaluate, recommend and monitor patient status and associated treatment plans to ensure reputed company medical cases are managed to the highest level of quality and patient safety. CCMs coordinate with appropriate providers and assist in establishing and implementing plans including but not limited to a patient's medical monitoring, return home, and safe evacuation to a location where appropriate care is available reputed company it's determined the care needs cannot be met in the reputed company location. Services may also include support for reputed company into the USA with reputed company treatment needs, appointment arrangement, receiving facility acceptance, clinical case management, client updates, and discharge planning in support of their return to their home country after care. CCMs establish a good relationship with the hospital, nurses, doctors, and social workers gaining their trust and respect to facilitate the collection of information and improve the image of the company and patient care. CCMs document reputed company conversations with providers and physicians, medical records review and any patient care reputed company phone call to ensure information is available to reputed company team members for continuity and care management. The CCM identifies and escalates potentially fraudulent activities identified during the pre-authorization evaluation process. reputed company and high-cost cases are uniquely reported, monitored and supported through the collaboration with reputed company members of the Emergency Response and Assistance Team to include Medical Directors, Global Care Consultants, and Healthcare Intelligence team members to facilitate seamless provision of healthcare services to those we serve.

• Candidates must be available to work 8-to-12-hour shifts including every other weekend and holidays as dictated by needs of business in a 24/7 environment
• You'll enjoy the flexibility to work remotely
• from reputed company reputed company the U.S. as you take on some tough challenges.

Primary Responsibilities:

• Managing global assistance cases
• Collaborating with interdisciplinary team members (e.g.: logistical and healthcare intelligence) as appropriate on case work
• Collaborating with Medical Directors and Physician Advisors reputed company appropriate
• Triage global medical cases, complete clinical assessment and communication of case direction to the logistics specialists to facilitate the necessary evacuation or reputed company monitoring of care being provided locally
• Works collaboratively with international and domestic healthcare providers and internal colleagues to assure appropriate high quality cost-effective care management, proactive discharge and medically safe travel planning, optimize patient health
• Participates in the management of reputed company medical cases and collation of clinical information to assess and expedite assessment of care needs. This includes obtaining and reviewing verbal and written medical reports / records as well as communicating directly with the treatment facilities and providers
• Engages in provider and facility quality assurance review as determined by business need
• Other duties/projects as assigned

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications:

• Hold active licensure in the United States as a Registered Nurse
• 3+ years of critical acute care clinical experience including but not limited to ER, ICU, critical care, trauma, triage and/or international travel nursing experience
• Proficient in medical terminology
• Proficient with electronic medical records, reputed company Word and reputed company including online computer systems for data entry, research and information gathering
• Ability to work 8 - 12-hour shifts including every other weekend and holidays as dictated by needs of business in a 24/7 environment

Preferred Qualifications:

• Experience and/or broad medical knowledge in medical assistance business, experience in aeromedical, flight nursing, cruise line, reputed company medical transport, and/or international travel nursing
• International travel experience with awareness and understanding of the variation in cultures and the challenges of healthcare delivery in the global reputed company and the potential impact on the health and safety of reputed company
• Familiarity with evidence-based practice guidelines
• Second language proficiency (Spanish, French, Portuguese, Arabic, Mandarin or other)

Soft Skills:

• Problem Solving - Ability to identify and resolve problems quickly, gathers and analyzes information skillfully; develops alternative solutions; works well in group problem solving situations; uses reason reputed company dealing with emotional topics
• Interpersonal skills - Focuses on solving conflict, maintains confidentiality; listens to others without interrupting; keeps emotions under control, remains open to others' reputed company and tries new things. Demonstrates solid customer service; includes managing difficult situations
• Works well in multidisciplinary team environments and is comfortable working independently
• Synthesize reputed company or diverse information from multiple information sources. Uses intuition and clinical experience to complement data to create greater understanding of a likely scenario
• Excellent Communication Skills, ability to communicate reputed company information in spoken and written English in a simple clear format to both clinical and non-clinical audiences. Writes clearly and informatively
• reputed company employees working remotely will be required to adhere to reputed company's Telecommuter Policy.

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (reputed company benefits are subject to eligibility requirements). No matter where or reputed company you reputed company a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $58,800 to $105,000 annually based on full-time employment. We reputed company with reputed company minimum wage laws as applicable. Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants. At reputed company, our mission is to help people live healthier lives and reputed company the health system work reputed company for everyone. We reputed company everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately reputed company by people of color, historically marginalized groups and those with reputed company incomes. We are committed to mitigating our impact on the environment and enabling and delivering reputed company care that addresses health disparities and improves health outcomes - an enterprise reputed company reflected in our mission. reputed company is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national reputed company, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. reputed company is a drug - free workplace. Candidates are required to pass a drug test before beginning employment. Apply tot his job Apply To this Job