RN Case Manager
$38 - $42 per hourPyramid Consulting, Inc.
Immediate need for a talented RN Case Manager. This is a 06+months contract opportunity with long-term potential and is located in U.S(Remote). Please review the job description below and contact me ASAP if you are interested.
Job ID:26-30570 Pay Range: $38 - $42/hour. Employee benefits include, but are not limited to, health insurance (medical, dental, vision), 401(k) plan, and paid sick leave (depending on work location). Key Responsibilities:- Conduct outreach to newly assigned and existing members to complete required assessments of member needs.
- Develop individualized care plans based on clinical, behavioral, and social needs, continuously reassessing as member needs evolve.
- Connect members to primary care providers, specialists, and community resources, facilitating scheduling and referrals.
- Provide education and support to ensure compliance with treatment plans, monitoring adherence to improve health outcomes.
- Identify and close HEDIS care gaps to enhance preventive care and chronic condition management.
- Maintain performance metrics by managing caseloads, completing assessments, and ensuring compliance with care plans.
- Key Skills: Experience in care management with a focus on chronic health conditions.
- Background in managed care and case management.
- Bachelor's degree in Nursing ]
- Certification / License in RN Licensure [Required]
- 2-4 years of experience in case management and/or managed care.
- Proficiency in Microsoft Office Suite and strong documentation skills.
- Excellent communication and engagement skills to build rapport and educate members.
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Vacancy posted 4 days ago
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