Nurse Case Manager/Advocate- Louisville, KY (Remote)

Synergy Healthcare USA, LLC; Louisville (KY); Remote; USD 50,000 - 80,000; Full time

Job summary

An established industry player is seeking a dedicated Nurse Case Manager/Advocate to join their dynamic team in Louisville. This remote position allows for flexibility while playing a vital role in guiding members through the complexities of the healthcare system. With a focus on personalized coaching and education, the successful candidate will leverage their clinical expertise to promote wellness and manage chronic conditions. If you are passionate about making a difference in people's lives and possess strong communication skills, this opportunity offers a chance to thrive in a supportive and innovative environment.

Qualifications

• Active nursing license with a preference for BSN degree.
• Minimum of 3 years experience in nurse case management.

Responsibilities

• Serve as primary contact for members navigating healthcare.
• Educate members on benefits and healthier lifestyles.

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 Case Manager/Advocate - Louisville, KY (Remote)

Location: Louisville, KY

Job Id: 282

# of Openings: 1

SYNERGY HEALTHCARE: Nurse Case Manager/Advocate – LOUISVILLE, KY (Remote)

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 greater Louisville 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 have the flexibility to “think outside the box.” With your clinical experience and background, you will help members better understand their health status and play a pivotal role in promoting patient wellness, managing chronic conditions, and enhancing overall health outcomes through personalized coaching and education. This position requires a blend of clinical expertise, strong communication skills, and a passion for helping others achieve their health goals.

While this specific client has a couple of primary offices in KY, this opportunity allows for remote work, so flexibility in location is possible. 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 healthier lifestyles, member 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!