Job Title: Remote RN Case Manager

Pay: $44.14 an hr | Bi-weekly

Job Type: Remote in Hamilton, Butler, Clermont, or Warren Counties. (50-75 percent travel required)

Shift Options:

• M-F 8 am - 5 pm

Remote RN Case Manager Overview:

• Through the use of clinical tools and information/data review, conducts comprehensive assessments of referred member's needs/eligibility and determines approach to case resolution and/or meeting needs by evaluating member's benefit plan and available internal and external programs/services
• Application and/or interpretation of applicable criteria and guidelines, standardized case management plans, policies, procedures, and regulatory standards while assessing benefits and/or member’s needs to ensure appropriate
  administration of benefits
• Utilizes case management and quality management processes in compliance with regulatory and accreditation guidelines and company policies and procedures

Remote RN Case Manager Qualifications:

• 3 years Clinical practice experience, e.g., hospital setting, alternative care setting such as home health or ambulatory care required.

• Healthcare and/or managed care industry experience.

• Case Management experience preferred-- Position requires proficiency with computer skills which includes navigating multiple systems and keyboarding

• Effective communication skills, both verbal and written.

• Ability to multitask, prioritize and effectively adapt to a fast paced changing environment

• Sedentary work involving periods of sitting, talking, listening.

• Work requires sitting for extended periods, talking on the telephone and typing on the computer.

• Work requires the ability to perform close inspection of hand written and computer generated documents as well as a PC monitor.

• See members in their home and documentation from home office.

Remote RN Case Manager Benefits:

• Benefits are available to full-time employees after 90 days of employment and include health, optical, dental, life, and short-term disability insurance.
• A 401(k) with a company match is available for full-time employees with 1 year of service on our eligibility dates.

How to Apply:

If you are interested in this position, please apply OR submit your resume to:

Saw Hlaing | shlaing@alinestaffing.com | 412-790-5425