Remote RN Case Manager: Care Coordination Leader

Univera Healthcare; City of Rochester (NY); Hybrid; USD 62,000 - 118,000; Full time

Benefits offered by this job

Remote work possibility

Job summary

Univera Healthcare is seeking a Case Management professional to conduct and coordinate member-centered programs. You will collaborate with providers to develop interdisciplinary care plans, educate members, and ensure adherence to CMSA/NCQA standards and NYS DOH requirements. The role emphasizes quality, cost-effective outcomes and member Education.

The position supports a multidisciplinary team to optimize health outcomes while coordinating services and maintaining thorough documentation.

Qualifications

• Must have strong written and verbal communication skills.
• Ability to multitask and balance priorities.
• Demonstrates independent work habits and initiative.
• Proficient in Microsoft Office applications.
• Travel ability as required by the role.

Responsibilities

• Handles member clinical management programs and activities.
• Maintains knowledge of CMSA/NCQA standards and regulatory requirements.
• Collaborates with providers to develop comprehensive care plans.
• Coordinates services and educates members to achieve health goals.
• Documents processes and ensures compliance with policies.

Skills

Strong written and verbal comms

Multitasking and prioritization

Independent work ethic

Microsoft Office proficiency

Travel ability

Education

Associates degree required

Bachelor’s degree preferred

Active NYS RN or Registered Dietician or Physical Therapist licensure required

Tools

Microsoft Office Suite

Job description

Univera Healthcare is seeking a Case Management professional to conduct and coordinate member-centered programs. You will collaborate with providers to develop interdisciplinary care plans, educate members, and ensure adherence to CMSA/NCQA standards and NYS DOH requirements. The role emphasizes quality, cost-effective outcomes and member Education.

The position supports a multidisciplinary team to optimize health outcomes while coordinating services and maintaining thorough documentation.