RN Case Management - REMOTE

TEEMA - Honolulu, HI

Job Title: RN Case Management - REMOTE

Position: Case Management Specialist

Job Type: Contract to Hire

Pay:

Shift:

Work Type: Remote

Location

Address:

City: Honolulu

State: HI

ZIP Code:

Job Responsibilities

Conduct beneficiary screenings and assessments to determine eligibility for case management services.
Develop and implement individualized care plans to address specific needs, goals, and outcomes.
Monitor care plans regularly to ensure relevance and effectiveness, making adjustments as needed.
Provide advocacy for beneficiaries by ensuring access to care and locating specialized services when necessary.
Support beneficiaries with information on resources, including community programs.
Process and review authorization and referral requests, ensuring compliance with policies and high-risk factors.
Maintain detailed and accurate documentation in the medical management system.
Collaborate with providers and internal teams to ensure care plan alignment.
Monitor and provide guidance to non-clinical staff to support operational goals.
Demonstrate consistent reliability and professionalism in attendance and communication.

Required Skills

Core Skills

Knowledge of case management
HIPAA compliance
URAC standards and policies
Medical coding

Preferred Skills

Analytical problem-solving skills
Excellent verbal and written communication
Strong organizational skills
Team collaboration abilities

Requirements

Experience: At least two years of full-time direct clinical care experience.

Education:

License & Certification:

Current, unrestricted state license as a Registered Nurse
URAC-recognized certification in case management within four years of hire (ability to obtain)
Possession of a URAC-recognized case manager certification (desired)

Schedule:

COVID-19 Requirements: Not Specified

Benefits

Not specified

Supplemental Pay

Not specified

Special Notes

U.S. citizenship with the ability to obtain a favorable Department of Defense (DOD) background investigation.

Facility Details

Name: TEEMA

Description: A trusted leader in healthcare services dedicated to improving outcomes for patients and providers through innovative solutions and high-quality care.

Specialties: