Remote Nurse Case Manager

Overview

• Serve as a Nurse Case Manager, coordinating care plans for members remotely.
• Engage with members and families to ensure effective communication and service delivery.
• Utilize your MLTC experience to enhance member care and satisfaction.
• Work in a hybrid model, with initial onsite training for 90 days.
• Collaborate with a dedicated team to deliver person-centered care plans.
• Document member interactions and care plans thoroughly and accurately.
• Participate in team meetings to discuss care strategies and member needs.
• Contribute to the organization’s mission of providing exceptional care services.

Key Responsibilities & Duties

• Conduct monthly communications with members to review care plans.
• Coordinate member care with families and vendor agencies effectively.
• Respond promptly to items requiring attention and follow up as needed.
• Ensure timely and thorough documentation in member charts.
• Participate actively in weekly team meetings to discuss member care.
• Perform assessments and clinical reviews as required.
• Communicate effectively with members of diverse backgrounds and ages.
• Adhere to organizational policies and procedures in all duties.

Job Requirements

• Bachelor of Science (BS) degree required.
• Minimum of 1 year of experience in MLTC or related field.
• Proficiency in basic Excel functions such as filtering and sorting.
• Ability to communicate effectively with members and families.
• Strong documentation and organizational skills.
• Knowledge of member assessment and clinical review procedures.
• Ability to interpret documents and communicate information effectively.
• No COVID-19 vaccination requirement.