Case Management Nurse

Computech Corporation; Missouri; Remote; USD 3,000; Full time

Job summary

Computech Corporation seeks a Registered Nurse (RN) Case Manager to work remotely in Missouri. In this role, you will utilize your clinical skills to coordinate patient care and ensure compliance with benefit plans. Ideal candidates will have a valid RN license, case management experience, and strong communication abilities to navigate complex healthcare needs.

Qualifications

• Active, unrestricted Missouri state RN license required.
• 2-3 years clinical practice experience in relevant settings.
• Case Management Certification preferred.

Responsibilities

• Conduct comprehensive assessments of referred members' needs.
• Coordinate services and resources for optimal outcomes.
• Maintain effective communication with members and teams.

Skills

Communication

Multitasking

Data Analysis

Proficiency in computer use

Education

Registered Nurse (RN) License

Case Management Certification (CCM)

Job description

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Job Title: Registered Nurse (RN) Case Manager – Remote (Missouri Residents Only)

Location: Remote (Must reside in Missouri)

Schedule: Monday – Friday, 8:00 AM – 5:00 PM CST

Position Summary:

The Case Manager RN utilizes a collaborative process of assessment, planning, facilitation, and advocacy to coordinate services and resources that align with an individual's benefit plan and/or health needs. This role focuses on promoting optimal, cost-effective outcomes through effective communication and clinical judgment.

Responsibilities:

• Conduct comprehensive assessments of referred members' needs and eligibility using clinical tools and data analysis.
• Determine the best course of action to address member needs based on benefit plans and internal/external programs.
• Apply and interpret relevant criteria, guidelines, and standardized case management plans.
• Ensure the appropriate administration of member benefits in compliance with applicable policies, procedures, and regulatory standards.
• Utilize case management and quality management processes to support accreditation and regulatory compliance.
• Maintain effective communication with members and interdisciplinary teams.
• Navigate multiple systems for documentation, research, and case management tasks.

Qualifications:

Education & Licensing:

• Registered Nurse (RN) with an active, unrestricted Missouri state license or a valid compact license.
• Case Management Certification (CCM) preferred.

Experience:

• 2–3 years of clinical practice experience in settings such as hospitals, home health, or ambulatory care.
• Experience in healthcare and/or the managed care industry.

Skills:

• Proficiency in computer use, including navigating multiple systems and efficient keyboarding.
• Strong verbal and written communication skills.
• Ability to multitask, prioritize effectively, and adapt to a fast-paced, changing environment.
• Sedentary work involving extended periods of sitting, phone communication, and computer use.
• Requires close inspection of written and electronic documents.
• Remote work environment with established productivity and quality expectations.

Seniority level

• Seniority level

  Associate

Employment type

• Employment type

  Contract

Job function

• Job function

  Other

• Industries

  IT Services and IT Consulting

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