Medix
Medix provides workforce solutions to clients and creates opportunity for talent representing a variety of industries through our Healthcare, Scientific, Technology and Engineering divisions. We have earned our reputation as an industry leader by providing unsurpassed customer service and top quality professionals to our clients.
We're Hiring: Nurse Case Manager Location: Remote (U.S.) Schedule: Full-time- Mon-Fri Hours Pay: $42 About the Role: We are seeking Nurse Care Managers to join our Care and Case Management team who are passionate about supporting members holistically through their healthcare journey. This role focuses on members with behavioral health and substance use disorder (SUD) needs, and requires experience working with complex psychiatric and substance abuse disorders. As a Telephonic Nurse Care Manager, you will guide members through complex medical and behavioral health situations, working hand-in-hand with a multidisciplinary clinical team that may include physicians, advanced practice providers, behavioral health specialists, care coordinators, and records specialists. You'll deliver integrated, remote care in an innovative way-primarily via phone and virtual platforms. The ideal candidate: Enjoys spending time on the phone, listening to members, answering questions, and serving as a strong advocate. Excels at designing and executing cohesive, person-centered care plans. Possesses strong clinical judgment to guide members and help them navigate benefits, resources, and the healthcare system.
Bachelor of Science in Nursing (BSN). Must reside in a Compact NLC state. Active Compact RN license in good standing. 5+ years of nursing experience preferred (strong clinical foundation required). 2+ years of experience in behavioral health and/or substance use disorder settings. 2+ years of experience in care, case, and/or disease management, preferably within a health plan, health navigator, or TPA environment. Willing and able to obtain and maintain licensure in multiple states. Comfortable discussing a broad range of medical and behavioral conditions across the lifespan. Strong technology skills, including the ability to work with multiple computer systems and EMRs. Strong verbal and written communication skills, including the ability to: Gather and synthesize clinical history over the phone Explain medical concepts in patient-friendly language Document clearly, succinctly, and accurately Excellent grammar, attention to detail, and efficient written communication in patient-centric language. Preferred: Active California RN license. CCM (Certified Case Manager) certification. Prior remote work experience and comfort working in a fully or primarily virtual environment. Ideal Candidate Profile: Highly empathetic and patient-centered, especially when working with individuals and families facing complex behavioral health and substance use challenges. Demonstrates sound clinical judgment and strong critical thinking skills in making triage and care-planning decisions. Able to work efficiently in a fast-paced, high-volume environment without compromising quality of care. Flexible and comfortable with change in a rapidly evolving organization. Collaborative team player, willing to learn from colleagues and contribute to a positive, supportive team culture. Strong time management and prioritization skills, with the ability to manage a caseload and meet performance goals.
Deliver coordinated, patient-centered virtual Behavioral Health/Substance Use Disorder Care Management via telephone and/or video to improve members' health outcomes. Develop impactful, individualized care plans with members and the multidisciplinary care team and support members in achieving their goals. Help members navigate complex conditions, treatment pathways, benefits, and the healthcare system. Partner with members' local providers to ensure coordinated, integrated care. Provide compassionate, longitudinal follow-up, building supportive, trusting relationships over time. Support members and families through acute healthcare episodes (e.g., hospitalizations, rehabilitation stays) by providing coordinated Case Management. Coordinate clinical and social resources that holistically address members' needs. Maintain meticulous documentation and adhere to organizational workflows, policies, and performance metrics. Strictly adhere to HIPAA and security standards to safeguard protected health information (PHI). Perform other related duties as assigned.
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