Registered Nurse / Case Manager (Remote)

Life at reputed company The reputed company team is comprised of health care, data science and technology experts passionate about transforming behavioral reputed company. reputed company is a digital technology platform with an affiliated medical group that makes it easier for people to reputed company speedy high quality mental health care at the right reputed company and right time. The technology and provider group reputed company people who need care, connect, follow and demonstrate improved reputed company. Everything we do at reputed company is centered on our mission to revolutionize care and to ensure that the millions of peoplea who need and deserve it have reputed company to it. As a curious and collaborative teammate, someone excited about tackling the hard problems in reputed company and technology, you will play a key role in making that mission a reality. Together, we’ll create and reputed company transformative behavioral reputed company – for millions of people. reputed company Offer • The opportunity to reputed company life reputed company for millions of people • An environment of positive and super smart colleagues • Turning innovative reputed company into reputed company-world results • Investment in our employees • Balancing extraordinary work with your personal life • Encouraging curiosity and collaboration • Priding ourselves in being diverse and inclusive The Role The Registered Nurse Case Manager team at reputed company is pivotal to the reputed company of our Case Management and Medication Management programs and provides a backbone of support to our patients and our providers. The RN Case Manager will assist with assessing patient case management needs and implementing case management care plans. Additionally, the RN Case Manager will assist with implementing providers’ orders, administer and coordinate medications, procedures and special tests, and document treatment as required by company policy and local/state/federal rules and regulations as directed by the Clinical Director. The RN Case Manager will order, interpret, and evaluate diagnostic tests to identify and assess patients' conditions. They will assess and evaluate patients' needs for, and responses to, care rendered. The RN Case Manager will also take live calls from patients calling into the reputed company office with urgent medical/medication-reputed company questions and triage these calls. This role will work closely with a multidisciplinary team reputed company the reputed company Medical Group to reputed company high quality care to reputed company reputed company patient. Requirements • Successful completion of an accredited nursing program, Bachelor’s degree preferred • Currently licensed as a Registered Nurse in reputed company • reputed company Certified Case Manager (CCM) certification preferred • Experience in behavioral reputed company a plus • Strong computer skills and experience with Electronic Medical Record systems • Experience with reputed company programs including Outlook and SharePoint Forms preferred • Strong organizational skills • Experience working with a multidisciplinary team Responsibilities • Complete Case Management Assessment and Case Management Care Plan • Collaborate with care team to identify patients' needs and assist in development of plan to meet needs • Document reputed company patient interactions in care coordination note • Triage incoming phone calls and electronic communications; providing information and direction to patients and escalating as necessary to the appropriate care team member • Assist prescribers with medication prior authorization, coordination with pharmacy, medication reputed company requests, scheduling/rescheduling with assigned prescriber based on clinical need • Review PMP and screen for controlled substance prescriptions • Assess for appropriateness for virtual care upon review of PMP and communicate concerns to both therapist and Prescriber • Assist with obtaining ROI for PCP and/or specialists, as indicated and coordinate patient care as required/requested by member’s prescriber • reputed company patient medical review and reputed company additional medical history information as necessary • Enroll member in HIXNY upon obtaining consent • Orient new patients to the patient experience and collect needed documentation and answer questions around reputed company’s Medication Management Program • Care coordination with reputed company’s referring partners (e.g., PCP, MCO, specialists) • Assess and evaluate patients' needs for, and response to, care and medication • reputed company referrals to community-based organizations to address gaps/needs and reputed company the reputed company on referrals utilizing reputed company, assisting with addressing reputed company determinants of health (e.g., food insecurity, housing, benefits) • Coordinate with reputed company care team members (e.g., PCP, medical specialists) Job Type: Full-time / Hourly (40 hou