Nurse Advocate - Remote- Raleigh area

Synergy Healthcare USA, LLC; Raleigh (NC); Remote; USD 60,000 - 90,000; Full time

Job summary

An established industry player is seeking a dedicated Nurse Advocate to join their dynamic team in the Raleigh area. This remote position offers the chance to make a significant impact by guiding members through the complexities of the healthcare system. The ideal candidate will leverage their clinical experience to resolve healthcare issues and foster relationships with members and healthcare professionals alike. If you're passionate about delivering exceptional healthcare experiences and thrive in a collaborative environment, this is the perfect opportunity for you to help others live their healthiest lives.

Qualifications

• Active nursing license and 3 years of experience as a nurse case manager.
• CCM certification or eligibility required.

Responsibilities

• Serve as the primary contact for members navigating the healthcare system.
• Collaborate with healthcare professionals to ensure coordinated care.

Skills

Analytical Skills

Problem-Solving Skills

Communication Skills

Interpersonal Skills

Organizational Skills

Education

Bachelor of Science in Nursing (BSN)

Tools

Electronic Health Records (EHRs)

Outlook

Excel

Job description

Position: Nurse Advocate - Remote - Raleigh area

Location: Raleigh, NC

Job Id: 280

# of Openings: 1

Job Summary:

We are seeking an experienced Case Manager to join our growing team and serve as a Nurse Advocate for our new client and their employees. The ideal candidate will be located in the Raleigh, NC area, have a thorough understanding of the healthcare system, and will be responsible for providing guidance and support to members in navigating the complex healthcare landscape.

As the dedicated Nurse Advocate, you will be responsible for resolving a myriad of issues for members and will have the flexibility to “think outside the box.” With your clinical experience and background, you will help members better understand their health status and available treatment options. You will have a unique opportunity to develop valued relationships with members and executive teams with your specific employer clients.

While this specific client, based in Rocky Mount, has a number of offices throughout NC, this opportunity allows for remote work, so we can be flexible on location. Minimal travel within the State for periodic client visits may be required. Most, if not all, work will be done virtually from the convenience of your own home office.

The key to your success will rely on your ability to cultivate trusted relationships with stakeholders, members, and their families. Our growing Synergy team is passionate about delivering an exceptional healthcare experience that is personal, data-driven, and value-based to help every person live their healthiest life.

Key Responsibilities:

• Serve as the primary point of contact for members seeking assistance with navigating the healthcare system.
• Work with members to identify their healthcare needs and provide clinical support.
• Liaison with TPAs and insurance companies to resolve claim and billing issues.
• Educate members on their healthcare benefits and how to effectively utilize them.
• Advocate for members to receive improved healthcare outcomes, including referrals to specialists and timely access to care.
• Collaborate with other healthcare professionals, including physicians and nurses, to ensure seamless coordination of care.
• Monitor member health status and progress towards achieving their healthcare goals.
• Maintain accurate and up-to-date records of member interactions and healthcare interventions.
• Client-facing reporting with the potential for limited travel to client worksites.
• Health Risk Assessment review to encourage lifestyle modification and improve overall wellness.

Qualifications:

• Active nursing license with a Bachelor of Science in Nursing (BSN) degree preferred.
• Minimum of 3 years of experience as a nurse case manager or in a related healthcare field.
• CCM certification or CCM eligible. Commit to CCM exam within the first year.
• In-depth knowledge of the healthcare and insurance systems.
• Strong analytical and problem-solving skills with the ability to identify and resolve complex healthcare issues.
• Excellent communication and interpersonal skills with the ability to interact effectively with employees and healthcare professionals.
• Ability to work remotely, independently, and as part of a team in a fast-paced, dynamic environment.
• Strong organizational skills with the ability to manage multiple tasks and priorities simultaneously.
• Proficient in the use of electronic health records (EHRs), Outlook, Excel, and other healthcare-related software.

If you are passionate about helping others and have a solid understanding of the healthcare system, we encourage you to apply for this exciting opportunity as a Case Manager Nurse Advocate with our growing organization.

Questions? Please reach out to [e-mail] today!