Case Manager - NLC

New
J
JobgetherHealthcare
USFull-TimeMiddle
Salary$35.50–$38.00 per hour
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Job Details

Experience
At least three years of clinical RN experience in a medical/surgical or ambulatory care setting.

Requirements

  • Active, current, unrestricted Registered Nurse (RN) license in a Nurse Licensure Compact (NLC) state.
  • At least three years of clinical RN experience in a medical/surgical or ambulatory care setting.
  • Case Management Certification (CCM) required or must be obtained within three years of employment.
  • Bachelor’s degree in nursing or a related field is preferred.
  • Strong clinical knowledge of healthcare and social-support needs.
  • Demonstrated ability to identify care barriers and develop practical solutions.
  • Understanding of care coordination, alternative care models, and interdisciplinary collaboration.
  • Knowledge of assistive equipment and disability-related legislation such as the Americans with Disabilities Act.
  • Strong organizational, prioritization, time-management, and clinical judgment skills.
  • Excellent written, verbal, and interpersonal communication skills.

Responsibilities

  • Apply core principles of case management including assessment, planning, implementation, coordination, monitoring, and evaluation.
  • Conduct comprehensive assessments of medical, social, psychological, and long-term needs.
  • Develop individualized plans of care based on clinical assessments, benefit-plan considerations, and cost-effectiveness.
  • Identify and address barriers to care by coordinating with rehabilitation facilities, home health services, and community resources.
  • Maintain effective working relationships with physicians, providers, payors, and interdisciplinary care teams.
  • Ensure documentation compliance with regulatory and privacy requirements.
  • Negotiate cost discounts with providers and payors when appropriate.
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$35.50–$38.00 per hour
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