Job Description
Are you a compassionate and experienced Registered Nurse with a passion for maternal health? We're looking for a dedicated Integrated Nurse Case Manager to join our team and make a real difference in the lives of pregnant and postpartum women and their families. This is a full-time, work-from-home opportunity in the Central/Richmond, VA region that allows you to provide crucial care while enjoying work-life balance!
Why This Role is Special:
Make a Real Impact: Provide comprehensive case management services to pregnant and postpartum women, empowering them to navigate their healthcare journey with confidence.
Work From Home: Enjoy the flexibility and convenience of a remote work environment while staying connected to your community. (Travel within the Central, VA region for in-home visits is required.)
Comprehensive Care: Develop and implement individualized care plans that address the physical, behavioral, social, and long-term needs of our members.
Collaborative Team: Work closely with Medical Directors, Physician Advisors, and Interdisciplinary Teams to provide the best possible care for your patients.
Growth and Innovation: Be part of a leading healthcare system that is committed to growth, innovation, and patient safety.
Exceptional Benefits: We offer a comprehensive benefits package, including health & welfare benefits and a generous retirement plan with employer matching.
What You'll Do:
Develop and implement personalized care plans for members, addressing their unique needs across the care continuum.
Conduct telephonic and in-person clinical assessments to identify, evaluate, and manage member needs.
Coordinate care for high-risk members, including those with chronic conditions, co-morbidities, or disabilities.
Manage care to ensure cost-effective and efficient utilization of health benefits, including gap-in-care management.
Facilitate authorizations, referrals, and care plan implementation.
Collaborate with Medical Directors, Physician Advisors, and Interdisciplinary Teams to discuss treatment plans.
Maintain compliance with all relevant regulations, policies, and procedures.
Assist with problem-solving related to provider, claims, or service issues.
What You'll Need:
Active and unrestricted Registered Nurse (RN) license - Compact/Multi-State license required.
BSN (Bachelor of Science in Nursing) preferred.
Experience in nursing, with a focus on case management, care coordination, or patient advocacy.
Experience with medical/clinical cases for pregnant and postpartum women.
Maternity experience (Labor & Delivery, Postpartum, Mother/Baby) is a plus!
Strong knowledge of physical, psychological, socio-cultural, and cognitive patient needs.
Excellent communication, problem-solving, and analytical skills.
Ability to work independently and collaboratively in a remote, fast-paced environment.
Benefits:
Comprehensive health & welfare benefits
Retirement plan (401(k)/403(b) with employer match)
Paid Time Off (sick time, vacation time, paid parental leave)
And much more!
Employment Type: Full-Time
Salary: $ 78,114.00 Per Year
Job Tags
Full time, Remote job,