Case Management Nurse - Compact RN License

Overview Case Management Nurse - Compact RN License. 100% remote, contract to hire potentially, 6+ months. Base pay range: $37.00/hr - $39.00/hr. Duration: 6+ months with potential for contract-to-hire. Location requirement: must have Compact RN License and reside in one of the following states: CO, GA, IN, KY, MS, OH, PA, VA, WA, LA or IA. Paid 8-week training. All equipment provided. OpTech has multiple job openings with a Tier 1 client. Actual pay will be based on skills and experience — talk with your recruiter to learn more. Responsibilities Lead the coordination of a regionally aligned, multidisciplinary team to provide holistic care to meet member needs telephonic and/or digital. Coordinate care with Medical and Behavioral Health Social Workers, Registered Dietitians, Pharmacists, Clinical Support Staff and Medical Directors. Use the case management process to assess, develop, implement, monitor, and evaluate care plans designed to optimize the member’s health across the care continuum. Assess the member’s health, psychosocial needs, cultural preferences, and support systems. Engage the member and/or caregiver to develop an individualized plan of care, address barriers, identify gaps in care, and promote improved health outcomes. Arrange resources (e.g., community resources, mental health services, substance abuse services, financial support, disease-specific services). Coordinate care delivery and support among member support systems, including providers, community-based agencies, and family. Advocate for members and promote self-advocacy. Deliver education on health literacy, self-management, medication plans, and nutrition. Monitor and evaluate the effectiveness of the care management plan; assess adherence and adjust as necessary. Document interactions to support member management. Prepare members for discharge or transfer to ensure continuity of care; educate on post-transition care and follow-up. Coordinate durable medical equipment and transportation services as needed. Adhere to professional standards and meet quality and production goals. Maintain ongoing professional development and CCM certification. Qualifications Nursing Diploma or Associate degree in nursing required; Bachelor’s degree strongly preferred. 3 years of clinical nursing experience in clinical, acute/post-acute, and community settings. 1 year of case management experience in a managed care setting preferred. Experience managing patients telephonically and via digital channels (mobile apps and messaging) preferred. Certification in Case Management (CCM) required or to be obtained within 18 months of hire; CCP certification preferred. Compact RN License required. Certificates, Licenses, Registrations Compact RN License (required). Certification in Case Management (CCM) required or to be obtained within 18 months of hire. Certification in Chronic Care Professional (CCP) preferred. Skills Critical thinking, decisiveness, and problem-solving across diverse topics affecting outcomes. Empathetic, supportive, good listener; proficient in motivational interviewing. Time management and strong organizational skills; ability to manage multiple systems/tools while engaging with a member. Proficient in Microsoft Office; strong written and verbal communication; able to work in teams and independently. Education and Experience Nursing degree required; Bachelor’s preferred. 3 years of clinical nursing experience; 1 year of case management in managed care preferred. Telephonic/digital patient management experience preferred. Company and Equal Opportunity OpTech is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, pregnancy, disability, age, veteran status, or other characteristics. Why work at OpTech? OpTech is a woman-owned company that values your ideas, offers health and dental benefits, training opportunities, flexible/remote work options, growth opportunities, 401K, and competitive pay. Note: This job posting includes external references to other roles and general listings; this content does not alter the responsibilities or requirements for the Case Management Nurse position. #J-18808-Ljbffr OpTech