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Remote rn case manager (payer/insurance experience required) (hiring immediately)

Houston
RAC
Case manager
Posted: 13h ago
Offer description

Join Our Team as a Nurse Care Manager!

Are you a passionate and motivated nurse looking to make a real difference in people's lives? We invite you to become a vital part of our dynamic Care and Case Management team! In this telephonic role, you will guide our members through their healthcare journeys, ensuring they receive the best possible care and support.

This position focuses on proactive engagement with high-risk and rising-risk members, especially during discharge planning and care transitions. You will collaborate with a multidisciplinary clinical team, including healthcare professionals, care coordinators, and records specialists, to deliver innovative remote care.

If you enjoy connecting with people over the phone, actively listening to their needs, and advocating for their health, this role is perfect for you! You will create cohesive care plans and leverage available resources to help members navigate complex situations.


Schedule

* CA Based/Licensed: Monday - Friday, 9:00 AM - 6:00 PM PST
* Non CA Based/Licensed: Monday - Friday, 9:00 AM - 6:00 PM local time zone


Your Responsibilities

* Conduct high-value Care Management outreach calls to engage high-risk and rising-risk members, fostering strong relationships and promoting proactive health management.
* Make proactive calls to members post-hospital discharge, conducting thorough intake assessments.
* Collaborate with hospital-based case managers to support members' specific discharge needs and encourage engagement with our Care Management program.
* Perform initial assessments covering daily living activities, cognitive functions, social determinants of health (SDOH), and life planning to develop holistic care strategies.
* Deliver coordinated, patient-centered virtual Care Management via telephone and/or video to improve health outcomes.
* Create impactful care plans in collaboration with members and our multidisciplinary care team, empowering them to achieve their health goals.
* Coordinate necessary resources to address members’ clinical and social needs holistically.


What We’re Looking For

* Bachelor of Science in Nursing (BSN)
* Compact Nursing License with an active California Registered Nurse (RN) and Illinois License in good standing.
* 5+ years of clinical nursing experience
* 2+ years in care management, case management, or disease management, preferably in a health plan or third-party administrator (TPA) environment.
* Experience in remote care or case management
* Comfortable discussing a variety of medical conditions and working with diverse populations.
* Strong technological skills and proficiency in using multiple computer/medical record systems.


Compensation & Benefits

Hourly Rate: $33 to $40

Compensation may vary based on skills, experience, and education.

Our benefit package starts on the 31st day of employment and includes:

* Medical, dental, and vision insurance
* Health Savings Account (HSA), Flexible Spending Account (FSA), and Dependent Care FSA options
* 401(k) retirement account access with employer matching
* Paid sick leave and other paid time off as provided by applicable law


About Us

Insight Global is a purpose-driven staffing and professional services firm founded in 2001 and headquartered in Atlanta, GA. Our mission is to empower people through opportunity, offering staffing, consulting, and workforce solutions across various industries.

What sets us apart is our commitment to personal, professional, and financial development for our internal team and the clients and consultants we serve. Our culture is built on values like high character, servant leadership, and taking care of one another.

Ready to make a difference? Join us and be part of a team that truly cares!

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