CareMore Health
Case Manager - Registered Nurse
Job Description Summary
Responsible for managing quality, cost‑effective care using selective benefits and alternative services best suited for the member.
How You Will Make an Impact & Requirements This is a remote position and requires the position holder to reside in Arizona.
Assess, plan, facilitate, coordinate, monitor, and evaluate options and services to meet member's health needs.
Support members or their representatives regarding care, care transitions, and changes in health status.
Implement a comprehensive clinical case management plan for each patient.
Obtain input from providers, patients, and family as appropriate, evaluate and revise the plan as needed.
Analyze patient variances from the plan and initiate appropriate steps to resolve variances.
Perform admission and concurrent stay reviews on hospitalized patients.
Develop and implement discharge planning for patients in conjunction with hospital‑based case managers.
Conduct telephonic, fax, and/or on‑site reviews with skilled nursing facilities, home health agencies, or other contracted service agencies to determine need for continued care.
Qualifications
RN with minimum 2 years of experience; or equivalent combination of education and experience.
Current unrestricted RN license in applicable state(s) required.
Completion of a Tuberculosis test is required.
Bilingual in either Spanish or Vietnamese is preferred.
Compensation $35.43 to $53.15 per hour.
Seniority Level Entry level
Employment Type Full‑time
Job Function Health Care Provider
Industry Hospitals and Health Care
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Responsible for managing quality, cost‑effective care using selective benefits and alternative services best suited for the member.
How You Will Make an Impact & Requirements This is a remote position and requires the position holder to reside in Arizona.
Assess, plan, facilitate, coordinate, monitor, and evaluate options and services to meet member's health needs.
Support members or their representatives regarding care, care transitions, and changes in health status.
Implement a comprehensive clinical case management plan for each patient.
Obtain input from providers, patients, and family as appropriate, evaluate and revise the plan as needed.
Analyze patient variances from the plan and initiate appropriate steps to resolve variances.
Perform admission and concurrent stay reviews on hospitalized patients.
Develop and implement discharge planning for patients in conjunction with hospital‑based case managers.
Conduct telephonic, fax, and/or on‑site reviews with skilled nursing facilities, home health agencies, or other contracted service agencies to determine need for continued care.
Qualifications
RN with minimum 2 years of experience; or equivalent combination of education and experience.
Current unrestricted RN license in applicable state(s) required.
Completion of a Tuberculosis test is required.
Bilingual in either Spanish or Vietnamese is preferred.
Compensation $35.43 to $53.15 per hour.
Seniority Level Entry level
Employment Type Full‑time
Job Function Health Care Provider
Industry Hospitals and Health Care
#J-18808-Ljbffr