Hybrid RN Care Manager (Bedford, NH)

Lumeris•New Hampshire, NH

9d•$84,600 - $113,775•Hybrid

About The Position

Provides telephonic care and case management to Medicare members as part of a multidisciplinary care team. Educates and empowers members to improve their care, collaborates with providers and caregivers, and helps ensure continuity and positive outcomes during care transitions. The role is hybrid and based in Bedford, New Hampshire. Employees work in normal office conditions when performing the duties of the job. If offered employment, candidates must provide proof of updated vaccinations and complete a pre-employment drug screen. The role is identified as not member- or patient-facing. The hiring range is $84,600 to $113,775. Candidates must be authorized to work in the United States; visa sponsorship is unavailable.

Requirements

Current, good-standing registered nurse licensure in New Hampshire and eligibility for licensure in other states.
At least 5 years of clinical nursing experience, including at least 2 years in hospital or home health case management, or the knowledge, skills, and abilities to succeed in the role.
Ability to obtain case management certification (CCM) within 2 years of hire and maintain certification during employment.
Proficient computer skills and ability to learn and apply new technologies.
Ability to type and talk simultaneously.
Initiative and ability to prioritize workload and respond to changing demands and timelines.
Ability to guide team projects or processes.
Strong judgment and critical-thinking skills, including assessing member needs and developing plans of care.
Flexibility and adaptability in a changing environment.
Effective communication and relationship-building skills, including the ability to influence and positively impact members.
Excellent interpersonal and customer-service skills, including telephone etiquette.
Effective training and mentoring skills.

Nice To Haves

BSN or experience with telephonic case management.
Case management certification.
Previous experience as a telephonic case manager for a Medicare insurance plan.

Responsibilities

Provide members with health and disease education and encourage participation in care and healthy lifestyle changes.
Consult with members about medications and durable medical equipment.
Review care plans, address home care needs, and connect members with community resources.
Make outbound calls to assess members’ current health status.
Provide patient education and use motivational interviewing to support self-management.
Create and monitor personalized member plans of care.
Identify gaps or barriers in treatment plans and coordinate care and referrals.
Coordinate services such as home health and durable medical equipment as needed.
Ensure discharged members receive necessary services and resources, including medication reconciliation.
Document and track findings in a computerized system.
Interact with providers and a multidisciplinary care team.
Collaborate with medical management staff to develop new programs.
Support member and department success and help the team meet goals.
Train and mentor new employees.

Benefits

Medical, vision, and dental plans.
Tax-advantage savings accounts (FSA and HSA).
Life insurance and disability insurance.
Paid time off, sick time, paid leave, volunteer days, and wellness days.
Employee Assistance Program.
401(k) with company match.
Employee Resource Groups.
Employee discount program.
Learning and development opportunities.
Certain roles may qualify for performance-based incentives and/or equity, depending on position eligibility.