Case Manager - Maternity and Pediatrics 50hr Remote
Case Manager - Maternity and Pediatrics 50hr Remote
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Job Description
RN CASE MANAGER CENTRAL VIRGINIA (FIELD & REMOTE) MANAGED CARE ORGANIZATION
We are seeking a Registered Nurse (RN) Case Manager who resides in Central Virginia to join a dynamic Managed Care Organization. This role supports Medicaid members and requires pediatrics and maternity experience as well as fieldbased travel to member homes for assessments.
Compensation: This is temptoperm paying $50.00 per hour
Location & Travel Requirements
- Remote position based in Central Virginia with required travel to member homes in Richmond Ashland Emporia Farmville Williamsburg Hampton and Newport News.
- Travel is 3040 fieldbased with mileage reimbursement.
- Highspeed internet and a home office setup required.
Position Overview
The RN Case Manager will work remotely and in the field conducting facetoface assessments and developing care plans for Medicaid members. The case manager will participate in interdisciplinary care team meetings and coordinate services to improve health outcomes.
Key Responsibilities
- Conducts clinical assessments and determines eligibility for case management based on health needs.
- Develops and implements individualized care plans in collaboration with the member caregivers and healthcare professionals.
- Performs telephonic and inperson visits to assess and monitor members health status and needs.
- Ensures continuity of care by integrating behavioral health services longterm care support and wellness programs (e.g. asthma and depression management).
- Facilitates interdisciplinary care team (ICT) meetings to coordinate services.
- Uses motivational interviewing techniques to educate and support members.
- Identifies and addresses barriers to care providing resources to improve member outcomes.
- Maintains an ongoing caseload ensuring compliance with case management requirements.
Schedule & Work Expectations
- Monday through Friday 8:00 AM 5:00 PM (No weekends).
- Travel required 30 for facetoface assessments.
- Caseload: 175200 members.
Required Qualifications
- Active unrestricted RN license in Virginia.
- 13 years of case management disease management managed care or healthcare experience.
- Background in pediatrics and/or maternity nursing.
- Strong computer skills for multitasking between systems documenting interactions and managing case files.
- Must possess a valid drivers license with a clean driving record and reliable transportation for field visits.
- Bachelors Degree in Nursing (BSN) preferred.
Preferred Qualifications
- Experience working in Managed Care Organizations (MCOs).
- Familiarity with Medicaid programs and communitybased services.
- Experience with behavioral health case management is a plus.
Why Join Us
- Competitive salary & benefits package
- Mileage reimbursement for travel
- Opportunity to make a direct impact on members health and wellbeing
- Worklife balance with a MondayFriday schedule
If you are a compassionate RN Case Manager looking for a rewarding opportunity in Central Virginia apply today!
Required Experience:
Manager
Employment Type
Hourly
