RN Case Manager - Behavioral Health (Remote)
Chicago, IL, United States Remote
$90,000 a yearJobFig found this opening at its original source and checks that it remains available.
About the role
As a registered nurse with an Illinois nursing license, you will work remotely to enhance the quality of member management, maximize both satisfaction and cost effectiveness, and assist in navigating the health care system as a collaborative health partner in their health care team. As an RN Case Manager, the RN will work closely with client and members alike to promote wellness, problem-solve, and assist members in realization of their personal health-care related goals. This role includes telephonic member and provider outreach, data collection and analyzation, reporting, clinical review, medical and behavioral health assessments, and documentation in compliance with Federal/State regulation, NCAQ standard, and company policies and procedures. This position is part of the Value Based Care Services team. This is what it means to be ALIVE with purpose. This is how we thrive — together — at Guidehealth.
What you'll bring
- Current IL Registered Nurse License (State of Illinois requires Nursing Professional Staff to complete 20 hours of CE per 2-year license renewal cycle).
- Minimum of five years of experience in a variety of health care settings.
- Highly experienced in Case Management and Chronic Condition Management.
- Knowledge of utilization review, quality improvement, managed care, and/or community health.
- Previous remote and/or telephonic work experience.
- Basic knowledge of case management principles, healthcare management, and reimbursement components, with experience in motivational interviewing.
- Excellent clinical judgment, as well as highly skilled in verbal and written communication.
- Strong organizational. problem solving, and time management skills necessary.
- Ability to ensure timely completion of projects and assignments.
- Ability to prioritize and react based on rapidly changing business needs.
- Must have ability to work independently and remotely with multi-tasking skills for fast paced workflows.
- Must possess software knowledge including word processing and spreadsheets, computer skills including MS Word, Excel, Access, PDF, Outlook, etc.