Wellmark, Inc. was looking for a Wellmark, Inc. Case Management Nurse I (Remote Eligible ...

Case Management Nurse I (Remote Eligible) Full-time Department: Clinical | Health Networks | Provider Support Work Environment: Remote Eligible *see job footer for more info Pay Grade: 20 Organizational Overview: We are a mutual insurance company dedicated to serving policy holders across our region, built on decades of trust. Our motivation stems from supporting our members' well-being, not corporate profits. We are committed to providing exceptional service, sustainability, and innovation. Role Description: As a Case Management Nurse I, you will serve as a key advisor who actively engages with members through various channels to support their complex healthcare needs. You will create personalized care plans ensuring optimal health outcomes by partnering with members, families, healthcare providers, and community resources. Ideal Candidate Profile: You are a dedicated healthcare professional motivated to provide personalized support and education. You excel in fast-paced environments, demonstrating strong time management, prioritization, and multi-tasking skills. You are resourceful, collaborative, adaptable, and technologically proficient. Preferred Candidates: Located in specific states, with prior health plan experience and diverse clinical background, including behavioral health expertise. Certification Requirement: Must obtain Certified Case Manager (CCM) certification within 24 months of hire. Preferred Qualifications: - Certified Case Manager (CCM) - Care navigation/coordination experience - Behavioral health experience Required Qualifications: - Accredited nursing program completion - Active, unrestricted RN License - 4+ years diverse clinical experience - Strong communication skills - Professional demeanor - Critical thinking abilities - Technical proficiency - Understanding of healthcare regulations Key Responsibilities: - Utilize critical thinking for complex condition identification - Design individualized care plans - Coordinate care across healthcare ecosystem - Educate members on personal health accountability - Document care management activities accurately - Collaborate with internal and external stakeholders - Stay current with evolving healthcare technologies and resources Remote Work Flexibility: Option to work fully remotely with potential occasional in-office requirements. Equal Opportunity Employer: Committed to recruiting, hiring, and promoting individuals without discrimination.