Remote Case Manager Nurse, RN

Jobgether

1d•Remote

About The Position

This position is posted by Jobgether on behalf of a partner company. We are currently looking for a Remote Case Manager Nurse, RN. In this role, you will play a vital part in improving health outcomes by providing telephonic case management. Your work will bridge the gap between healthcare providers, patients, and caregivers, ensuring high-quality care while reducing costs. This part-time opportunity allows you to manage your hours effectively, making it a great fit for those seeking flexible work solutions. You may need to be available during evenings and weekends to meet the needs of the patients you serve.

Requirements

Must hold a current RN license and have graduated from an accredited nursing program.
Five years of medical/surgical or acute care experience, including two years in case management.
Ability to critically analyze medical claims data and develop treatment plans.
Strong independent decision-making and problem-solving skills.
Knowledge of community resources and funding programs.
Proficient in Microsoft Office Suite and other relevant software.
Excellent communication, negotiation, and interpersonal skills.
Strong customer service orientation and time management abilities.

Nice To Haves

Preferred experience in case management or critical clinical care.

Responsibilities

Conduct thorough assessments of patients' needs, including physical, emotional, and financial aspects.
Utilize claims processing tools to develop a member's clinical picture and identify suitable programs.
Create treatment plans for standard and complex cases in collaboration with patients and healthcare providers.
Monitor treatment effectiveness and adjust plans as needed while documenting measurable outcomes.
Maintain ongoing communication with patients, families, and multidisciplinary teams throughout care.
Advocate for patients to ensure quality care delivery and assist in overall cost reduction.
Achieve productivity and quality standards on a regular basis.
Implement cost management strategies and report on outcomes during case management reviews.
Build relationships with healthcare providers and clients to facilitate emotional support and guidance.
Evaluate wellness program referrals and maintain detailed patient documentation.