Senior Case Management RN — Remote Patient Care Leader

Durbanville Classifieds; Wes-Kaap; Remote; ZAR 600,000 - 900,000; Full time

Benefits offered by this job

Health, dental, and vision insurance

Retirement savings plan with employer

Fully remote work arrangement

Job summary

Durbanville Classifieds is seeking a Senior Registered Nurse specialized in Case Management for a fully remote role. You will coordinate patient care across settings, advocate for patients, and collaborate with healthcare providers and insurers to secure authorizations.

The ideal candidate has at least five years of clinical nursing experience, with two years in case management, and strong knowledge of healthcare regulations.

Qualifications

• Current and unrestricted Registered Nurse license.
• 5+ years of clinical nursing experience, with at least 2 years in case management or care coordination.
• Strong understanding of healthcare regulations, insurance processes, and community resources.
• Excellent assessment, planning, and problem-solving skills.
• Proficient in using electronic health record (EHR) systems and telehealth platforms.
• Exceptional communication, negotiation, and interpersonal abilities for remote collaboration.

Responsibilities

• Assess patient needs and develop comprehensive, individualized care plans in collaboration with healthcare teams.
• Coordinate patient care services, ensuring continuity and efficiency across different providers and facilities.
• Advocate for patients' needs, rights, and preferences throughout their healthcare journey.
• Liaise with insurance providers to obtain authorizations for services and manage coverage issues.
• Monitor patient progress, evaluate the effectiveness of care plans, and make necessary adjustments.
• Educate patients and families about treatment options, available resources, and discharge planning.

Skills

Case management

Clinical nursing

Communication

Problem solving

Tools

EHR systems

Telehealth platforms

Job description

Durbanville Classifieds is seeking a Senior Registered Nurse specialized in Case Management for a fully remote role. You will coordinate patient care across settings, advocate for patients, and collaborate with healthcare providers and insurers to secure authorizations.

The ideal candidate has at least five years of clinical nursing experience, with two years in case management, and strong knowledge of healthcare regulations.