Remote Nurse Case Manager | WFH

Job Overview

Join our esteemed organization as a Nurse Case Manager and leverage your nursing expertise to make a meaningful difference in the lives of individuals within the Tidewater, VA region. This full-time, remote position offers you the flexibility to provide essential healthcare support while contributing to your local community.

Key Responsibilities

• Develop and execute tailored care plans that cater to the physical, behavioral, social, and long-term needs of our members.
• Conduct both telephonic and in-person clinical assessments to identify, evaluate, and address member needs effectively.
• Coordinate care for high-risk members facing chronic conditions, co-morbidities, or disabilities.
• Optimize care management to ensure efficient utilization of health benefits, including addressing gaps in care.
• Facilitate authorizations, referrals, and the implementation of care plans.
• Collaborate with Medical Directors, Physician Advisors, and interdisciplinary teams to enhance treatment planning.
• Maintain compliance with relevant regulations, accreditation standards, and internal policies.
• Provide solutions for issues related to providers, claims, or services.
  
  

Required Skills

• Active Registered Nurse (RN) license - Compact/Multi-State license required.
• Preferred: Bachelor of Science in Nursing (BSN).
• Relevant nursing experience emphasizing case management, care coordination, or patient advocacy.
• Strong insight into the physical, psychological, socio-cultural, and cognitive aspects of patient care.
• Exceptional communication (both oral and written), analytical, and problem-solving abilities.
• Capacity to work autonomously and collaboratively in a dynamic, remote setting.
  
  

Qualifications

• For High Intensity Care Management, minimum one year of experience working directly with members who:
• Require private duty nursing services;
• Are life-sustaining ventilator dependent; or
• Are vulnerable infants (e.g., NAS, substance-exposed, NICU level 3).
• Nursing experience focusing on case management, care coordination, or patient advocacy is essential.
  

Career Growth Opportunities

As part of our team, you will have access to professional development programs that foster your growth in the nursing field and enhance your skills in case management and patient advocacy. Our organization is committed to your career advancement.

Company Culture And Values

We pride ourselves on fostering a diverse and inclusive work environment that values each employee’s contributions and promotes well-being. Our mission is to provide high-quality care with compassion and dedication, aligning with our core values of integrity, excellence, and respect.

Networking And Professional Opportunities

Joining our team allows you to connect with a network of healthcare professionals, enhancing your opportunities for collaboration, skill development, and professional growth within the nursing community.

Compensation And Benefits

We acknowledge the hard work of our employees by offering a comprehensive benefits package, including:

• Medical, dental, and vision insurance options.
• Life insurance and disability coverage.
• 401(k)/403(b) retirement plans with employer matching.
• Paid Time Off (sick time, vacation time, and paid parental leave).
• Educational assistance and student loan repayment programs.
• And more!
  
  

If you are a compassionate and dedicated RN seeking a fulfilling career that allows you to create a significant impact in your community, we encourage you to apply.

Employment Type: Full-Time