RN Case Manager

Avardis Health Management•Atlanta, GA

26d•Remote

About The Position

Ignite your nursing career with Avardis Health as a PRN RN Case Manager! This is your chance to make a meaningful impact from the comfort of your home, enjoying the dynamic flexibility of remote work while leading patient care journeys. Picture collaborating with a high-energy team that's as forward-thinking as you are, where your expertise is valued and your voice is heard. With a competitive salary range, you'll be rewarded for the critical role you play in transforming lives. Join us and experience the thrill of pushing the boundaries of healthcare from your home office, all while achieving a healthy work-life balance! Apply today and embark on an exhilarating career adventure.

Requirements

Valid Degree in Nursing as a Registered Nurse.
At least two years of experience in a hospital, nursing care facility, or similar healthcare setting.
Comprehensive knowledge of managed care rules, regulations, and guidelines.
Strong negotiation skills to ensure coverage and timely completion of case management reports.
Qualified, compassionate, and dedicated to making a difference and delivering exceptional patient care.
Must possess a Degree in Nursing as a Registered Nurse.
Must have as a minimum two (2) years' experience in a hospital, nursing care facility, or other related health care facility.
Must have a working knowledge of managed care rules, regulations, and guidelines.
Must have comprehensive knowledge of managed care, health insurance, and Case Management.
Ability to negotiate coverage and provide complete and timely case management, bundled payment, and ACO reports.
Must be qualified, compassionate, and dedicated to a job well done.

Nice To Haves

Experience with a Health Plan or third-party case management company.

Responsibilities

Shaping best practice initiatives that enhance health outcomes, streamline access to care, and lower costs for the population served.
Providing clinical leadership for Managed Care, Bundle Payment, and ACO programs.
Acting as an educator and advocate for both patients and staff.
Collaborating across departments to evaluate and direct activities that support patient care delivery.
Overseeing data collection for quality indicators.
Identifying successes and areas for improvement.
Developing comprehensive care plans with input from patients, families, and healthcare teams to ensure smooth transitions from inpatient care to the next level.
Proactive post-discharge follow-ups and consultations with physicians to eliminate barriers for patients.
Continuously enhancing healthcare delivery systems and results through innovative ideas.