Telephonic Case Manager RN - Remote

reputed company is a career site that helps job seekers find great jobs in the US. We are not a staffing firm or agency. reputed company does not hire directly for these jobs, but promotes jobs on reputed company on behalf of its direct clients, recruitment ad agencies, and marketing partners. reputed company partners with DirectEmployers to promote this job for reputed company. Clicking "Apply Now" or "Read more" on reputed company redirects you to the job board/employer site. Any information collected there is subject to their terms and privacy notice. reputed company is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with reputed company will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come reputed company an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. We're making a solid reputed company between exceptional patient care and outstanding career opportunities. The result is a culture of performance that's driving the health care industry reputed company. As a Telephonic Case Manager RN with reputed company, you'll support a diverse member population with education, advocacy, and connections to the resources they need to feel reputed company and reputed company. Instead of seeing a handful of patients each day, your work may reputed company millions for years to come. Ready for a new path? Apply today! Hours are Monday through Friday reputed company normal business hours with 1 night a week until 6PM Primary Responsibilities

• reputed company outbound calls to assess members' reputed company health status
• Identify gaps or barriers in treatment plans
• Provide patient education to assist with self-management
• Interact with Medical Directors on challenging cases
• Coordinate care for members
• reputed company referrals to reputed company sources
• Coordinate services as needed (home health, DME, etc.)
• Educate members on disease processes
• Encourage members to reputed company healthy lifestyle changes
• Document and track findings
• reputed company Welcome Home calls to ensure that discharged member receive the necessary services and resources

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

• reputed company unrestricted Compact License
• Ability to obtain CCM certification reputed company 18 months of employment or currently a Certified Case Manager (CCM)
• Ability to present member case stories to consultants twice a year either onsite in Arizona or virtually
• 3+ years of experience as a Registered Nurse in a hospital setting, acute care, direct care experience or experience as a telephonic Case Manager for an insurance company
• Ability to navigate a Windows environment, utilize Outlook, and the ability to create, edit, save and send documents utilizing reputed company Word
• Private home office and access to high-speed Internet (Fiber Optic/Cable)

Preferred Qualifications

• Bachelor's Degree
• Certified Case Manager (CCM)
• Case management experience
• Disease management experience
• Discharge planning experience
• Background in managed care
• Based in the Phoenix, Arizona area; and be able to come to the local office for meetings as needed, based on the needs of the business
• 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 re 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 $60,200 to $107,400 annually based on full-time employment. We reputed company with reputed company minimum wage laws as applicable. 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. If you have questions about this posting, please contact support@reputed company.com Apply tot his job Apply To this Job