Job Title: RN Case Manager
Location: Charlotte, NC
Work Arrangement: Remote
Employment Type: Contract
Duration: 6+ Months
Domain: Technology | Healthcare
Pay Rate: $60/hr on W2
Application Deadline: October 30th
SKILLS REQUIRED
Primary (Must-Have):
Registered Nurse (RN)
Case Management & Care Coordination
Transition of Care (TOC)
Secondary (Good to Have):
Medicare Advantage / D-SNP Knowledge
HEDIS / Medicare STAR Measures
POSITION OVERVIEW
The RN Case Manager will provide telephonic care management and coordination for Dual Eligible Special Needs Plan (D-SNP) members, focusing on Transition of Care (TOC), clinical assessments, individualized care planning, member engagement, and closure of HEDIS/Medicare STAR quality gaps. The role requires a Registered Nurse with strong clinical case management skills, experience coordinating post-discharge care, and knowledge of Medicare Advantage and D-SNP requirements.
ROLES & RESPONSIBILITIES
- Conduct telephonic outreach to members and caregivers following hospital, SNF, rehabilitation, or emergency department discharge.
- Perform clinical, psychosocial, functional, and Social Determinants of Health (SDOH) assessments.
- Develop and update individualized care plans based on member needs and health risks.
- Coordinate care with providers, multidisciplinary teams, caregivers, and community organizations.
- Support Health Risk Assessments (HRAs), Individualized Care Plans (ICPs), and Interdisciplinary Care Team (ICT) activities..
BENEFITS
Medical | Dental | Vision | 401(k)
EEOC Compliance:
We are an equal opportunity employer, and all qualified applicants will receive consideration for employment.
DISCLAIMER
AI Usage Policy: Pacer Group uses AI to assist in screening applications. Final hiring decisions are made by human recruiters based on qualifications and experience.
RN Case Manager in charlotte at Unknown Company
This position is listed as contract and able to be worked remotely.