Case Management Nurse

Mindlance is a global Talent, Teams, Projects, and Workforce Solutions partner, serving leading enterprises across industries since 1999. With a 5,000 strong footprint across multiple countries, we deliver scalable, AI native solutions that help organizations build, optimize, and transform their workforce.

Job Titles- Nurse Case Management Senior Analyst / (Utilization Review or Utilization Management) / Certified Case Manager / Case Manager Location: 100 % Remote Term: 3 Plus Months (Possible extension)

Nurse Case Management Senior Analyst Nurse Case Management Senior Analyst. For this position, Nurse Case Manager Senior Analyst, through the case management process, will promote the improvement of health outcomes to members. Also assist those members experiencing the burdens of illness and injury. The Case Manager will assess, plan, implement, coordinate, monitor and evaluate options and services to meet an individual’s health needs within case load assignments of a defined population. The Case Manager will promote quality cost-effective outcomes managing care needs through the continuum of care utilizing effective verbal and written communication skills and a consumerism approach through education and health advocacy to members serviced. Ability to work independently and effectively communicate to internal and external customers in a telephonic environment. Responsibilities: Establishes a collaborative relationship with client (plan participant/member), family, physician(s), and other providers to determine medical history, current health status, and assess the options for optimal outcomes. Promote consumerism through education and health advocacy. Assesses member’s health status and treatment plan and identifies any gaps or barriers to healthcare. Establishes a documented patient centric case management plan involving all appropriate parties (client, physician, providers, employers, etc), identifies anticipated case results/outcomes, criteria for case closure, and promotes communication within all parties involved. Implements, coordinates, monitor and evaluate the case management plan on an ongoing, appropriate basis. Adheres to professional practice within scope of licensure and certification quality assurance standards and all case management policy and procedures. Participates in unit and corporate training initiatives and demonstrates evidence of continuing education to maintain clinical expertise and certification as appropriate. Demonstrates sensitivity to culturally diverse situations, clients and customers.