Case Manager, Registered Nurse
$54,095–$155,538 year
Remote · United States
Job Summary
Case Manager, Registered Nurse role focusing on telephonic remote case management for fully and/or self-insured clients across multiple states. Responsibilities include applying clinical guidelines to assess member needs, developing and executing care plans, coordinating with care teams, performing medical necessity reviews, and engaging members to optimize health outcomes. Requires RN with multi-state licensing, 5+ years of nursing experience, and 1+ year in relevant clinical areas. Remote work from home in the US with virtual training; comprehensive benefits offered.
Required Qualifications
- 5+ years’ experience as a Registered Nurse
- active multistate license through Nurse Licensure Compact (NLC) or state-specific RN license for each state
- 1+ years’ experience documenting electronically
- 1+ years’ experience in Oncology, Transplant, Specialty Pharmacy, Pediatrics, Medical/Surgical, Behavioral Health/Substance Abuse or Maternity/Obstetrics
- Diploma or Associates Degree in Nursing required
- BSN preferred
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