Case Management Nurse

Valenz•Phoenix, AZ

1d•Remote

About The Position

As a Case Management Nurse, you’ll play a key role in managing comprehensive, patient-centered care across diverse health needs. Drawing on your clinical expertise, you’ll assess patient needs, develop individualized care plans, and collaborate with multidisciplinary teams to ensure seamless communication and continuity of care. You’ll support patients in navigating the healthcare system, promote adherence to treatment plans, and serve as a trusted advocate by providing education, emotional support, and guidance throughout their journey. In this role, you'll also contribute to wellness initiatives, optimize resource utilization, and help ensure compliance with organizational and regulatory standards to drive quality outcomes.

Requirements

Active, unrestricted Registered Nurse (RN) license in state of residence; Compact License (NLC) accepted if residing in a compact state.
3+ years of nursing experience in an acute care setting
Proven ability to work in a deadline-driven environment with strong attention to detail and organizational skills.
Demonstrated critical thinking and sound judgment in complex situations, with appropriate escalation as needed.
Excellent communication and interpersonal skills, with a collaborative approach to care coordination.
US based, in a location where you can work effectively and comply with company policies such as HIPAA.

Nice To Haves

Compact State Nursing License (if not already held).
Case management experience
Bilingual in Spanish.
Relevant certification (e.g., Certified Case Manager (CCM), Chronic Care Professional (CCP), or willingness to obtain CCM within 18 months of hire.

Responsibilities

Coordinate and manage healthcare services to ensure comprehensive, patient-centered care and effective communication among providers.
Assess patients’ medical needs and develop individualized care plans aligned with their conditions and health goals.
Advocate for patients by supporting their rights, preferences, and access to appropriate services throughout the healthcare system.
Monitor patient progress, adherence to care plans, and the effectiveness of interventions, adjusting as necessary.
Document assessments, care plans, and outcomes accurately and in a timely manner.
Generate reports on patient status, care outcomes, and resource utilization.
Educate patients on medications, treatment plans, and self-care practices.
Provide emotional support and counseling to patients and their families, addressing concerns and fostering trust.
Promote preventive care and wellness through health education and lifestyle guidance.
Ensure compliance with URAC standards, CMSA Standards of Practice, and all applicable federal, state, and local regulations, as well as Valenz policies.
Collaborate with internal teams to identify opportunities for health plan coverage savings when appropriate.
Perform other duties as assigned.
Reasonable accommodation may be made to enable individuals with disabilities to perform essential duties.

Benefits

Generously subsidized company-sponsored Medical, Dental, and Vision insurance, with access to services through our own products, Healthcare Blue Book and KISx Card
Spending account options: HSA, FSA, and DCFSA
401K with company match and immediate vesting
Flexible working environment
Generous Paid Time Off to include vacation, sick leave, and paid holidays
Employee Assistance Program that includes professional counseling, referrals, and additional services
Paid maternity and paternity leave
Pet insurance
Employee discounts on phone plans, car rentals and computers
Community giveback opportunities, including paid time off for philanthropic endeavors