Remote RN Case Manager – Care Coordination & Outcomes

01 USAble Mutual Insurance Company; United States; Remote; USD 73,000 - 93,000; Full time

Benefits offered by this job

Tuition reimbursement

Onsite gym

Onsite restaurants

Wellness incentives

Job summary

Arkansas Blue Cross and Blue Shield is seeking an experienced RN Case Manager to optimize patient care and resource utilization. The role involves assessing, planning, coordinating, monitoring, and evaluating comprehensive care plans to meet health needs, with potential focus on high-acuity or high-cost areas.

The position supports work-from-home options within AR and surrounding states, requires a nursing license, a bachelor's degree in nursing, and active case management certification.

Qualifications

• Bachelor's degree in Nursing preferred.
• RN license active in the state where duties are performed, in good standing.
• Case management certification required (CCM/ACM/RN-BC) or URAC recognition within 3 years.

Responsibilities

• Assess, plan, implement, coordinate, monitor, and evaluate care options to meet health needs and control costs.
• Adhere to URAC standards, state regulations, and nursing scope of practice.
• Provide disease-specific education and knowledge as needed.
• Collaborate with patients, families, physicians, and other providers to ensure quality and appropriate service levels.

Skills

Independence

Detail oriented

Critical reasoning

Collaborative communications

Cross-functional planning

Written communication

Oral communications

Problem sensitivity

Education

Bachelor's degree in Nursing

Tools

Five9

Microsoft Excel

Microsoft Office

CRM

Job description

Arkansas Blue Cross and Blue Shield is seeking an experienced RN Case Manager to optimize patient care and resource utilization. The role involves assessing, planning, coordinating, monitoring, and evaluating comprehensive care plans to meet health needs, with potential focus on high-acuity or high-cost areas.

The position supports work-from-home options within AR and surrounding states, requires a nursing license, a bachelor's degree in nursing, and active case management certification.