RN Case Manager openings with a major health insurance / managed care company based in the JAcksonville, NC area. Starting ASAP Apply now with Silvana M. at A-Line.
Job Summary:
- Hybrid Setup - Combination of remote work and field visits. Visits could be up to 3 hours away from Charlotte. All travel, mileage, and lodging (if needed) is reimbursed. Great for people who love to travel.
Job Duties:
- Managing a case load for healthcare members with long term care needs.
- Monthly and quarterly member contact and will include 80% travel. 20% Remote role. Will require a driver's license.
- Member assessments and notes.
- Complete assessments with members, caregivers, or providers to obtain information regarding client status, support system, and need for services for care plan development.
- Monitor delivery of services and follow-up with members, caregivers, or provider s through in person visits and telephonic contact
- Authorize and coordinate referrals for services.
- Ensure provider services are delivered without gaps and identify functional deficiencies in plans of care.
- Assist in coordinating the development of informal or voluntary services to integrate into the member care plan
- Collaborate with discharge planners, physicians, and other parties to ensure appropriate discharge plan, care plan, and coordination of acute care and long-term care services.
- Assist member with filing and resolving complaints and appeals.
Shift Times: Mon-Fri 8am-5pm with a 1-hour lunch break. OT may be required
Pay Rate: $40 - $42 hourly (determined on experience)
Required Skills:
- Licenses/Certifications: Current NC State RN - no restrictions on license
- 2 years of case management experience required
- Must have Computer literacy, including with Microsoft Programs like Excel, Outlook, and Word
- Must be willing to travel up to 3 hours from Charlotte
Preferred Experience:
- Experience with a managed care organization (MCO)
- Certified as a Case Manager (CCM) preferred.
- Bilingual in Spanish and English, and able to translate fluently.
Why Apply with A-Line?
- Full benefits available after 90 days: Medical, Dental, Vision, Life, Short-term Disability
- 401k after 1 year of employment: With employer match and profit sharing
- GREAT Hours. Monday through Friday, 40 hours per week
- Competitive Pay Rate
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