RN Case Manager (Behavioral Health) - Fully Remote (IL License Required) at Guidehealth | Torre

RN Case Manager (Behavioral Health) - Fully Remote (IL License Required)

Emma highlights
This highlight was written by Emma’s AI. Ask Emma to edit it.
Full-time

Legal agreement: Employment

Provide your expected compensation while applying
location_on
Remote (for United States residents)
Shared by
Diana Montoya
9 days ago

Responsibilities


RN Case Manager – Behavioral HealthAs a registered nurse with an Illinois nursing license working remotely, you will enhance the quality of member management, maximize satisfaction and cost effectiveness, and assist members in navigating the healthcare system as a collaborative health partner. This role includes telephonic member and provider outreach, data collection and analysis, reporting, clinical review, medical and behavioral health assessments, and documentation in compliance with Federal/State regulations.What you'll doConduct telephonic member and provider outreach to support care coordinationPerform clinical reviews and medical/behavioral health assessmentsCollect and analyze member data to guide care decisionsDocument in compliance with Federal/State regulationsPromote wellness, problem-solve, and assist members in realizing personal healthcare goalsCoordinate timely, effective, equitable, and member-centric careWhat they're looking forCurrent IL Registered Nurse License (active, not temporary)Minimum of 5 years of experience in a variety of healthcare settingsHighly experienced in Case Management and Chronic Condition ManagementKnowledge of utilization review, quality improvement, managed care, and/or community healthPrevious remote and/or telephonic work experienceExperience in motivational interviewingExcellent clinical judgment with strong verbal and written communication skillsStrong organizational, problem-solving, and time management skillsProficiency in MS Word, Excel, Access, PDF, Outlook, and navigating multiple EMRsHigh-speed/secured home internet (minimum 100 mbps download, 10 mbps upload)Private HIPAA-compliant home office with a door that locksCertification in Case Management preferred but not requiredWhy join?Fully remote company—work from home with equipment providedComprehensive Medical, Dental, and Vision plans401(k) plan with 3% employer match on 6% contributionLife and Disability insurance + Voluntary Life optionsEmployee Assistance Program (EAP)Paid time off for work-life balancePaid parental leaveResources for professional learning and development