Remote RN Case Manager: Care Coordination & Outcomes

Arkansas Blue Cross; United States; A distancia; USD 73.000 - 93.000; Jornada completa

Descripción de la vacante

Arkansas Blue Cross is seeking a Registered Nurse (RN) Case Manager to optimize patient care and resource utilization. The role involves assessing, planning, implementing, coordinating, monitoring and evaluating comprehensive care plans to meet health needs and ensure cost-effective delivery.

Required are an active RN license, a Bachelor's degree in Nursing (preferred), and a case management certification (CCM/ACM/RN-BC) with URAC recognition within three years if not obtained at hire.

Formación

• Bachelor's degree in Nursing preferred.
• RN with current active state license in good standing in the state(s) where job duties are performed required.
• Case management certification required (CCM, ACM, or RN-BC); URAC recognition within 3 years if not obtained prior to employment.

Responsabilidades

• Assess, plan, implement, coordinate, monitor, and evaluate care options to meet health needs while controlling costs.
• Adhere to policies, procedures, URAC standards, and state regulations to ensure patient safety and appropriate level of care.
• Educate on disease-specific conditions and stay current with medical procedures, products, and contracts.
• Serve as liaison among patients, families, physicians, discharge planners, and home care providers to promote quality care and cost-effectiveness.
• Manage referrals to identify suitable candidates for case management and maintain caseload levels.

Educación

Bachelor's degree in Nursing

Herramientas

Five9

Microsoft Excel

Microsoft Office

Microsoft Outlook

Microsoft PowerPoint

Descripción del empleo

Arkansas Blue Cross is seeking a Registered Nurse (RN) Case Manager to optimize patient care and resource utilization. The role involves assessing, planning, implementing, coordinating, monitoring and evaluating comprehensive care plans to meet health needs and ensure cost-effective delivery.

Required are an active RN license, a Bachelor's degree in Nursing (preferred), and a case management certification (CCM/ACM/RN-BC) with URAC recognition within three years if not obtained at hire.