Note: The job is a remote job and is open to candidates in USA. Point C is a National third-party administrator (TPA) that delivers customized self-funded benefit programs. They are seeking a compassionate and detail-oriented Case Management Nurse to serve as a critical liaison between patients, providers, care teams, and community resources, ensuring continuity of care and adherence to treatment plans.

Responsibilities

Create and promote adherence to treatment plans, as developed by patients’ healthcare providers
Create and maintain accurate, detailed clinical patient reports for clients and carriers
Monitor and document adherence to treatment plans, evaluate effectiveness, monitor patient progress in a timely manner
Increase continuity of care by managing relationships with tertiary care providers, transitions-in-care, and referrals
Increase patients’ ability for self-management and shared decision making
Increase comprehension through culturally and linguistically appropriate education
Assist with medication reconciliation
Connect patients to relevant community resources, with the goal of enhancing patient health and wellbeing
Serve as the contact point, advocate, and informational resource for patients, care team, family/caregiver(s), stop-loss carrier, and community resources
Assess a patient’s unmet health and social needs
Acknowledges patient’s right on confidentiality issues, always maintains patient confidentiality and follows HIPAA guidelines and regulations

Skills

Current standing as a registered nurse (RN) or licensed practical nurse (LPN) required
5 years of experience in a clinical or community resource setting/care coordination required
2 years of case management experience required
Highly organized with ability to keep accurate notes and records
Evidence of essential leadership, communication, education and counseling skills
Proficient computing skills and the ability to learn new systems
Exemplary telecommunication skills
Maintains high level of professionalism and confidentiality

Benefits

Comprehensive medical, dental, vision, and life insurance coverage
401(k) retirement plan with employer match
Health Savings Account (HSA) & Flexible Spending Accounts (FSAs)
Paid time off (PTO) and disability leave
Employee Assistance Program (EAP)

Company Overview

Point C is a network of self-insured healthcare plan third-party administrators. It was founded in 2020, and is headquartered in Chicago, Illinois, USA, with a workforce of 501-1000 employees. Its website is https://www.pointchealth.com.

Point C

New Jobs

[Remote] Case Manager