Remote RN Case Manager

WHAT YOU'LL NEED TO HAVE

Current IL Registered Nurse License (State of Illinois requires Nursing Professional Staff to complete 20 hours of CE per 2-year license renewal cycle).

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.

The salary range for this role is between

$70,000.00 to $75,000.00

ALIVE with Purpose: How We Thrive at Guidehealth

At Guidehealth, our values come to life in everything we do.

We are Driven by

A

As a registered nurse with an Illinois nursing license, you will work remotely to enhance the quality of member management, maximize both satisfaction and cost effectiveness, and assist in navigating the health care system as a collaborative health partner in their health care team. As an RN Case Manager, the RN will work closely with client and members alike to promote wellness, problem-solve, and assist members in realization of their personal health-care related goals.

This role includes telephonic member and provider outreach, data collection and analyzation, reporting, clinical review, medical and behavioral health assessments, and documentation in compliance with Federal/State regulation, NCAQ standard, and company policies and procedures. This position is part of the Value Based Care Services team.

WHAT YOU’LL BE DOING

Pulling, sorting, and analyzing data to determine member eligibility for the Population Health management Program.

Coordinating and providing care that is timely, effective, equitable, safe, and member-centric while following HMO processes.

Managing case assignments which includes outreach, documentation, monitoring for case progression, and case closure.

WHO IS GUIDEHEALTH?

Guidehealth is a data-powered, performance-driven healthcare company dedicated to operational excellence. Our goal is to make great healthcare affordable, improve the health of patients, and restore the fulfillment of practicing medicine for providers. Driven by empathy and powered by AI and predictive analytics, Guidehealth leverages remotely-embedded Healthguides™ and a centralized Managed Service Organization to build stronger connections with patients and providers. Physician-led, Guidehealth empowers our partners to deliver high-quality healthcare focused on outcomes and value inside and outside the exam room for all patients.

Join us as we put healthcare on a better path!!