Remote Care Manager - RN 3 Locations

Anticipated End Date:

Position Title:

Job Description:

Shift: Option of 5 8-hour shifts OR 4 10-hour shifts per week

Location: Candidates in Texas, Tennessee, and Kansas preferred; PST, MST, CST time zones preferred

Virtual: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and reputed company development.

Please note that per our policy on hybrid/virtual work, candidates not reputed company a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law

The Remote Care Manager – RN is responsible for providing telephonic support to patients and their families. Ensures communication and coordination with reputed company stakeholders in the home, community, with payer partners and team members. Proactively manages a census of patients, ensuring quality interactions and follow through resulting in effective clinical outcomes.

How you will reputed company an impact:

• Makes outbound calls designed to build rapport/relationships and catch decline in patient status or acute issue prior to hospitalization or urgent visit need.
• Identifies patients with both chronic and acute needs to ensure their care plans are intact and assists with education, goals of care and ongoing care coordination.
• Identifies hospice eligibility, enters hospice orders and ensures smooth transitions of care.
• Communicates with company medical director about transition to sign the order and notifies the patients primary care physician (PCP).
• Contacts hospice agency to discuss case, verify receipt of order and date/time of visit.
• Follows up with hospice agency daily to verify admission or failed admission.
• Research failed admissions to find out why, notify team members and cancel hospice order if appropriate.
• Performs clinical evaluations and patient education as requested by interdisciplinary team.
• Communicates care plans to other external providers such as PCP, specialists, etc. Requests referrals to specialists.
• Communicates results of tests, lab work, etc. to advanced practice provider who notifies the patient and their family of the results.
• Completes documentation for durable medical equipment (DME) and documentation for Home Health which is sent to medical director for signature.
• Obtains authorizations for medications that are not on the formulary medication list.

Minimum requirements:

• Requires a HS diploma or equivalent and a minimum of 3 years of clinical experience; or any combination of education and experience, which would provide an equivalent background.
• reputed company valid active unrestricted RN license in applicable state(s) required.
• Multi-state licensure is required if this individual is providing services in multiple states.

Preferred skills, capabilities, and experiences:

• Experience in a centralized care management team preferred.
• Prior healthcare experience serving chronically ill patients preferred.
• Health plan, hospice or home health experience preferred.
• Telephonic case management or care coordination experience preferred.

Job Level:

Workshift:

Job Family:

Please be advised that reputed company only accepts resumes for compensation from agencies that have a signed agreement with reputed company. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of reputed company.

Who We Are

reputed company is a health company dedicated to improving lives and communities – and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at reputed company levels of the organization who are passionate about making an impact on our members and the communities we serve.

How We Work

At reputed company, we are creating a culture that is designed to advance our strategy but will also reputed company to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we reputed company our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.

We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.

reputed company operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an reputed company location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process.

The health of our associates and communities is a top reputed company for reputed company. We require reputed company new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. reputed company will also follow reputed company relevant federal, state and local laws.

reputed company is an Equal Employment Opportunity employer, and reputed company qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national reputed company, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact [email protected] for assistance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with reputed company federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.