Remote RN Case Manager - Medicare Chronic Care

City of Lincoln; Clearwater (FL); Hybrid; USD 65,000 - 90,000; Full time

Benefits offered by this job

Hybrid/Remote work

Job summary

Community Health Solutions is seeking a skilled Case Manager (RN) to provide telephonic case management, education and outreach to Medicare members in the Chronic Case Management Program. The position requires Florida RN licensure and a compact license, and is offered as a hybrid/remote role.

The ideal candidate will coordinate care with the Care Advocate Team, ensure accurate documentation in the EHR, maintain confidentiality per HIPAA, and support member advocacy and transition of care across

Qualifications

• Licensed Registered Nurse in Florida required.
• Compact license accepted or in process documentation.
• Minimum three years of adult clinical experience.
• Bachelor’s degree in nursing preferred.
• Experience with Medicare programs preferred.
• CCM certification and bilingual (Spanish) preferred.

Responsibilities

• Fulfills monthly contacts with enrolled members and maintains accurate records.
• Educates members to achieve optimal health and coordinates education services.
• Collaborates with Care Advocate Team to address services and documentation.
• Advocates for members and escalates concerns as needed.
• Identifies needs for directives, ancillary, specialty, and community services.
• Ensures seamless transition of care during disenrollment scenarios.
• Maintains HIPAA compliance and PHI security.
• Accesses and manages PHI per security policies.

Skills

Communication skills

Organizational skills

Multitasking

Analytical skills

Verbal communication

Motivational skills

Education

Florida RN license

Compact license acceptable

Bachelor's degree preferred

Tools

Microsoft 365

EHR/EMR systems

Telehealth platforms

Medicare documentation

Job description

Community Health Solutions is seeking a skilled Case Manager (RN) to provide telephonic case management, education and outreach to Medicare members in the Chronic Case Management Program. The position requires Florida RN licensure and a compact license, and is offered as a hybrid/remote role.

The ideal candidate will coordinate care with the Care Advocate Team, ensure accurate documentation in the EHR, maintain confidentiality per HIPAA, and support member advocacy and transition of care across