RN Case Manager - Behavioral Health (Remote)

📋 Description

• Pull, sort, and analyze data to determine member eligibility for the Population Health management
• Coordinate and provide care that is timely, effective, equitable, safe, and member-centric while
• Manage case assignments including outreach, documentation, monitoring for case progression, and
• Meet reporting and documentation standards while engaging in collaborative meetings with department
• Assist members in reaching wellness and health-autonomy by addressing barriers, social
• Help members make informed decisions by educating them on navigation through the HMO and healthcare

🎯 Requirements

• Current IL Registered Nurse License
• Minimum of five years of experience in a variety of health care settings
• Highly experienced in Case Management and Chronic Condition Management
• Knowledge of utilization review, quality improvement, managed care, and/or community health
• Previous remote and/or telephonic work experience
• Basic knowledge of case management principles, healthcare management, and reimbursement components

🎁 Benefits

• Work from Home: Guidehealth is a fully remote company
• Comprehensive Medical, Dental, and Vision plans
• 401(k) plan with a 3% employer match to your 6% contribution
• Life and Disability insurance; voluntary Life options
• Employee Assistance Program (EAP)
• Paid time off plans