RN Case Manager - Behavioral Health (Remote)

📋 Description

• Pulling, sorting, and analyzing data to determine member eligibility for the Population Health
• Coordinating and providing care that is timely, effective, equitable, safe, and member-centric
• Managing case assignments which includes outreach, documentation, monitoring for case progression
• Meeting reporting and documentation standards while engaging in collaborative meetings with
• Assisting members in reaching wellness and health-autonomy by addressing barriers, social
• Helping members make informed decisions by educating them on navigation through the HMO and

🎯 Requirements

• Current IL Registered Nurse License (State of Illinois requires Nursing Professional Staff to
• 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, providing you the flexibility to spend less
• Keep Health a Priority: We offer comprehensive Medical, Dental, and Vision plans to keep you
• Plan for the Future: Our 401(k) plan includes a 3% employer match to your 6% contribution.
• Have Peace of Mind: We provide Life and Disability insurance for those "just in case" moments.
• Feel Supported When You Need It Most: Our Employee Assistance Program (EAP) is here to help you
• Take Time for Yourself: We offer paid time off plans helping you achieve work-life balance and meet