Insight Global
Remote Nurse Care Manager (Payer/Insurance Experience Required)
Insight Global - California, Missouri, United States, 65018
Work at Insight Global
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Overview
Remote Nurse Care Manager (Payer/Insurance Experience Required)
Remote Nurse Care Manager (Payer/Insurance Experience Required)
1 day ago Be among the first 25 applicants Get AI-powered advice on this job and more exclusive features. This range is provided by Insight Global. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more. Base pay range
$33.00/hr - $45.00/hr We're seeking a passionate and highly motivated Nurse Care Manager to join our dynamic Care and Case Management team. In this telephonic role, you'll play a crucial part in holistically guiding our members through their healthcare journey, ensuring their needs are met with industry-leading interventions. This position places a special emphasis on proactive engagement with high-risk and rising-risk members, particularly around discharge planning and care transitions. You will partner with a multidisciplinary clinical team that includes a variety of healthcare professionals, care coordinators, and records specialists, to deliver integrated remote care in an innovative way. The ideal candidate will enjoy spending time on the phone, actively listening to members’ needs, answering questions, and serving as a dedicated advocate. You should excel at creating cohesive care plans and possess the clinical acumen to guide members through complex situations, leveraging available benefits and resources. Schedule: CA Based/Licensed: Monday - Friday, 9:00 AM - 6:00 PM PST Responsibilities: Engage in high-value Care Management outreach calls for Included Health members with the primary goal of clinically engaging high-risk and rising-risk members, fostering strong relationships and promoting proactive health management. Make proactive calls to members once their hospital discharge is confirmed, conducting thorough intake assessments if the member is reached. Collaborate with hospital-based case managers to understand & support members' specific discharge needs and actively encourage members to engage with our Care Management program. Perform initial assessments encompassing activities of daily living, cognitive functions, social determinants of health (SDOH), health beliefs and behaviors, and life planning activities to develop truly holistic care strategies. Deliver coordinated, patient-centered virtual Care Management by telephone and/or video that consistently improves members’ health outcomes. Generate impactful care plans collaboratively with members and our multidisciplinary care team, empowering members to achieve their desired health goals. Coordinate necessary resources that holistically address members’ problems, whether clinical or social. Qualifications: Bachelor of Science in Nursing (BSN) Compact Nursing License with additional Active California Registered Nurse (RN) and Illinois License in good standing. 5+ years of experience in clinical nursing 2+ years of experience working in care management, case management, and/or disease management, preferably within a health plan, health navigator, or third-party administrator (TPA) environment. Remote care or case management experience Comfortable discussing a wide variety of medical conditions and experienced working with populations across all age ranges. Strong comfort with technology and high competence in using multiple computer/medical record systems. Compensation $33hr to $45hr Exact compensation may vary based on several factors, including skills, experience, and education. Benefit packages for this role will start on the 31st day of employment and include medical, dental, and vision insurance, as well as HSA, FSA, and DCFSA account options, and 401k retirement account access with employer matching. Employees in this role are also entitled to paid sick leave and/or other paid time off as provided by applicable law. Seniority level
Seniority level Associate Employment type
Employment type Full-time Job function
Job function Health Care Provider Industries Hospitals and Health Care Referrals increase your chances of interviewing at Insight Global by 2x Inferred from the description for this job
Medical insurance Vision insurance Get notified about new Nursing Manager jobs in
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Remote Nurse Care Manager (Payer/Insurance Experience Required)
1 day ago Be among the first 25 applicants Get AI-powered advice on this job and more exclusive features. This range is provided by Insight Global. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more. Base pay range
$33.00/hr - $45.00/hr We're seeking a passionate and highly motivated Nurse Care Manager to join our dynamic Care and Case Management team. In this telephonic role, you'll play a crucial part in holistically guiding our members through their healthcare journey, ensuring their needs are met with industry-leading interventions. This position places a special emphasis on proactive engagement with high-risk and rising-risk members, particularly around discharge planning and care transitions. You will partner with a multidisciplinary clinical team that includes a variety of healthcare professionals, care coordinators, and records specialists, to deliver integrated remote care in an innovative way. The ideal candidate will enjoy spending time on the phone, actively listening to members’ needs, answering questions, and serving as a dedicated advocate. You should excel at creating cohesive care plans and possess the clinical acumen to guide members through complex situations, leveraging available benefits and resources. Schedule: CA Based/Licensed: Monday - Friday, 9:00 AM - 6:00 PM PST Responsibilities: Engage in high-value Care Management outreach calls for Included Health members with the primary goal of clinically engaging high-risk and rising-risk members, fostering strong relationships and promoting proactive health management. Make proactive calls to members once their hospital discharge is confirmed, conducting thorough intake assessments if the member is reached. Collaborate with hospital-based case managers to understand & support members' specific discharge needs and actively encourage members to engage with our Care Management program. Perform initial assessments encompassing activities of daily living, cognitive functions, social determinants of health (SDOH), health beliefs and behaviors, and life planning activities to develop truly holistic care strategies. Deliver coordinated, patient-centered virtual Care Management by telephone and/or video that consistently improves members’ health outcomes. Generate impactful care plans collaboratively with members and our multidisciplinary care team, empowering members to achieve their desired health goals. Coordinate necessary resources that holistically address members’ problems, whether clinical or social. Qualifications: Bachelor of Science in Nursing (BSN) Compact Nursing License with additional Active California Registered Nurse (RN) and Illinois License in good standing. 5+ years of experience in clinical nursing 2+ years of experience working in care management, case management, and/or disease management, preferably within a health plan, health navigator, or third-party administrator (TPA) environment. Remote care or case management experience Comfortable discussing a wide variety of medical conditions and experienced working with populations across all age ranges. Strong comfort with technology and high competence in using multiple computer/medical record systems. Compensation $33hr to $45hr Exact compensation may vary based on several factors, including skills, experience, and education. Benefit packages for this role will start on the 31st day of employment and include medical, dental, and vision insurance, as well as HSA, FSA, and DCFSA account options, and 401k retirement account access with employer matching. Employees in this role are also entitled to paid sick leave and/or other paid time off as provided by applicable law. Seniority level
Seniority level Associate Employment type
Employment type Full-time Job function
Job function Health Care Provider Industries Hospitals and Health Care Referrals increase your chances of interviewing at Insight Global by 2x Inferred from the description for this job
Medical insurance Vision insurance Get notified about new Nursing Manager jobs in
California, United States . California, United States $55,100.00-$99,000.00 3 days ago Behavioral Health / Substance Use Nurse Care Manager, Adult
San Francisco, CA $73,700.00-$103,180.00 2 weeks ago Care Manager - LCSW, LMFT, LMSW, LPCC or RN, or CEAP
California, United States $37.00-$38.00 1 month ago San Mateo, CA $90,000.00-$125,000.00 2 weeks ago San Mateo, CA $90,000.00-$125,000.00 2 weeks ago Bilingual RN Care Manager (Remote Flexible - Spanish Speaking)
San Bernardino, CA $80,000.00-$95,000.00 2 months ago San Francisco, CA $39.00-$60.00 3 weeks ago Registered Nurse III (Medicare Appeals and Grievances)
San Bernardino, CA $43.00-$48.00 8 months ago NON-COMPACT STATE - PT Remote CCM/RTM Care Management Nurse (CA)
Maryland Remote Patient Monitoring LPN Contractor
Care Manager (RN): San Bernardino / Riverside County California
UM Prior Authorization Nurse, RN (Work from Home)
California, United States $74,260.46-$111,390.70 1 day ago California, United States $26.50-$47.59 3 days ago Occupational Health Nurse - Charge Nurse (RN) Telephonic Triage - Fully Remote in the US
Imperial, CA $90,000.00-$110,000.00 1 month ago California, United States $26.50-$47.59 3 days ago Folsom, CA $68,640.00-$83,551.00 3 weeks ago California, United States $30.00-$34.00 1 day ago Chronic Care Manager (Remote - Compact States)
Clinical Review Nurse - Concurrent Review
California, United States $26.50-$47.59 3 days ago Hospice Oversight Care Manager (RN) California
California, United States $26.50-$47.59 3 days ago Transition of Care Coach (RN): California
Oakland, CA $2,000.00-$2,000.00 2 months ago We’re unlocking community knowledge in a new way. Experts add insights directly into each article, started with the help of AI.
#J-18808-Ljbffr