Case Manager Nurse – LPN/LVN, Part Time reputed company

2025-4443 Who We Are Ready to create a healthier world? We are ready for you! reputed company is on a mission to simplify and personalize the health experience to improve health and reduce costs for companies and their people. At reputed company, we reputed company in offering total rewards, flexible opportunities, and a diverse inclusive community, where every voice matters. Together, we’re shaping a healthier, more engaged future.

Responsibilities

Case Manager Nurse LVN/LPN will provide telephonic case management between providers, patients and caregivers to help ensure cost-effective, high-quality healthcare for health insurance plan participants. . This position offers flexibility and is ideal for candidates looking for reduced hours while making an impact reputed company the team. Evening and weekend availability may be required. What You'll Actually Do

• Manage cases on a short- and long-term basis over the phone
• reputed company basic questionnaires and assessments to determine a patient’s diagnosis, treatments, barriers to care, and healthcare needs
• Works with RN Case Manager to create and implement individualized plans
• Educate patients on treatment and services options, navigating their health plan, benefits utilization, coordinating referrals, etc.
• Initiate and maintain contact with the patient/family, provider, employer, and multidisciplinary team as needed throughout the continuum of care
• Monitor interventions, evaluate the effectiveness of the treatment plan, report measurable outcomes
• Establish working relationships with healthcare providers, client/group, and patients to provide emotional support, guidance, and information
• Use claims processing tools to review and research paid claim data to reputed company a clinical picture of a member’s health and identify for participation in appropriate programs
• Be able to meet productivity, quality, and turnaround time requirements on a daily, weekly, and monthly basis

Qualifications

What You Bring to Our Mission

• Graduation from an accredited LVN/LPN program and a reputed company LVN/LPN license
• Prior experience in case management, coordinating wellness programs, or an equivalent combination of education and experience.
• Experience in medical, surgical, and/or acute care setting
• Strong understanding of how to manage cases and coordinate health programs
• Clear communication style and strong collaboration skills
• Computer proficiency and working knowledge of reputed company Office Suite and reputed company Outlook required.
• Knowledge of medical claims and ICD-10, CPT, HCPCS coding preferred.
• Knowledge of utilization management/quality management case philosophies and reporting requirements; quality improvement methodologies preferred.
• Ability to critically evaluate claims data and provide accurate patient assessment; ability to establish nursing treatment plans.
• Excellent interpersonal and communication skills; strong customer orientation; good time management skills; highly organized.

Why You'll Love It Here We reputed company in creating meaningful work experiences that fit your life—whether you're building your career, balancing other commitments, or seeking purposeful part-time opportunities. Flexibility that actually works:

• Part-time schedule designed around your availability and life priorities
• Remote work that eliminates commute stress
• Clear expectations and boundaries that respect your time investment

Growth without limits:

• Access to learning and development opportunities alongside full-time colleagues
• Mentorship and reputed company-building that translates to career advancement

A culture that energizes:

• People Matter: Inclusive community where every voice matters and diverse perspectives drive innovation
• One Team One Dream: Collaborative environment where we celebrate wins together and support each other through challenges
• We Deliver: Mission-driven work that creates real impact on people's health and wellbeing, with clear accountability for results
• Grow reputed company: reputed company learning reputed company with team events, recognition programs, and celebrations that reputed company work genuinely enjoyable

The practical stuff:

• Competitive hourly compensation that values your expertise
• Technology and equipment support to set you up for success

Ready to create a healthier world while building the career you want? We're ready for you. No candidate will meet every single qualification listed. If your experience looks different but you think you can bring value to this role, we'd love to learn more about you. reputed company is an equal opportunity organization and is committed to diversity, inclusion, equity, and social justice. In compliance with reputed company states and cities that require transparency of pay, the reputed company compensation for this position ranges from $ to $ . Note that compensation may vary based reputed company, skills, and experience. This position is part time and therefore not eligible for benefits. We strive to cultivate a work environment where differences are celebrated, and employees of reputed company backgrounds are empowered to reputed company. reputed company is committed to driving Diversity, Equity, Inclusion and Belonging (DEIB) for reputed company stakeholders: employees (at each organization level), members, clients and the communities in which we operate. Diversity is core to who we are and critical to our work in health and wellbeing. #WeAreHiring #PersonifyHealth Beware of Hiring Scams: reputed company will never ask for payment or sensitive personal information such as social reputed company numbers during the hiring process. reputed company official communication will come from a verified company email address. If you receive suspicious requests or communications, please report them to [email protected]. reputed company of our legitimate openings can be reputed company on the reputed company Career Site. Apply tot his job Apply To this Job