About the position Responsibilities • Act as a liaison with members, families, employers, providers, and insurance companies. • Implement and coordinate case management activities for catastrophic cases and chronically ill members. • Interact with members telephonically or in person, including home visits. • Assess and analyze members' medical and vocational status to develop care plans. • Communicate with stakeholders regarding care and treatment options. • Prepare documentation of case work activities as required. • Consult with internal multidisciplinary teams to maximize health outcomes. • Outreach to treating physicians or specialists as needed. • Provide educational and prevention information for optimal medical outcomes. • Apply relevant laws and regulations in the provision of rehabilitation services. • Testify as required to substantiate case work or reports. • Evaluate members' needs and benefit plan eligibility using clinical tools. • Facilitate condition management and optimize wellness and medical outcomes. • Monitor member progress toward desired outcomes through assessment and evaluation. Requirements • Active, current, and unrestricted RN licensure in NY and/or Compact RN licensure in Pennsylvania. • Minimum 3+ years of clinical practical experience, preferably with Medicare members. • Minimum 2+ years of case management, discharge planning, or home health care coordination experience. • Willingness to work Monday through Friday, 8am to 5pm EST, with some flexibility. • Ability to travel up to 75% for field visits in specified areas. • 1+ years of experience with MS Office Suites. Nice-to-haves • Excellent analytical and problem-solving skills. • Effective communication, organizational, and interpersonal skills. • Ability to work independently, potentially from home. • Proficiency with standard corporate software applications. • Efficient computer skills, including navigating multiple systems. • Willingness to obtain multi-state RN licenses if needed. • Bilingual in Spanish preferred. • Certified Case Manager certification preferred. • Additional national professional certification (CRC, CDMS, CRRN, COHN, or CCM) preferred. Benefits • Medical, dental, and vision benefits. • 401(k) retirement savings plan. • Employee Stock Purchase Plan. • Fully-paid term life insurance plan. • Short-term and long-term disability benefits. • Well-being programs and education assistance. • Free development courses. • CVS store discount and discount programs with partners. • Paid Time Off (PTO) and paid holidays. Apply tot his job