Case Manager, Rn (Remote)

Do you envision working for a company that has the expertise of a long-standing industry leader, but the spirit of an entrepreneur? Does the thought of making a real impact motivate and energize you? If so, then HPI is the place for you. Join a team that values integrity, flexibility, loyalty, compassion and dedication—we can’t wait to meet you.

What we do

HPI is unique. A respected industry leader that’s been serving customers for over 40 years, we’re known for our innovation and growth. Our experience has given us our expertise, but our forward-thinking, entrepreneurial spirit has given us our strong reputation. As a third-party administrator, we offer a suite of health and benefit solutions to employers. By joining HPI, you’ll contribute to ideas that make a real difference for employers and employees nationwide. There isn’t a challenge we won’t accept and we’re looking for people who have a passion to take it on. Not just a job—a mission.

What you’ll do

We’re looking for a dedicated, compassionate nurse to join the AchieveHealth® Care Management Services team as a Case Manager. In this role, you’ll have the opportunity to make a positive impact on the healthcare of individual members and promote positive outcomes by coordinating services and resources.

In this role, you’ll also:

• Conduct utilization management using standardized clinical criteria
• Consult with Physician Reviewers and other experts to determine appropriateness of care
• Develop individualized case management plans and Identify quality of care issues
• Telephonically assess members to ensure safe transition to next level of care upon discharge
• Determine and document quantifiable outcomes, including avoidable and actual dollar savings
• Continually educate the patient/family to promote self-management and self-advocacy
• Research available community resources and alternative funding sources as appropriate

What you bring:

• An active professional licensure as a Registered Nurse (RN) in MA, ME or NH (required)
• 3+ years of clinical experience (required)
• Competency in Windows-based computers (required)

Bonus points if you:

• 3+ years Discharge Planning and/or Case Management experience
• Familiarity with URAC standards, Department of Labor, state/federal regulations

Why choose us?

• We offer our employees incredible health, dental, and vision coverage, a 401(k), employer-paid disability, EAP, hybrid/remote work arrangements (depending on the position), and quarterly bonuses.
• We’re a people-first company and value giving back to our community. Ask us about our RISE Committee and volunteer opportunities.
• Our space is a reflection of who we are—innovative, open and collaborative.
• Love to get creative? We do too. Let the juices flow and brainstorm in one of our team break-out rooms.
• We think feeling your best is an important factor in producing great work, so we embrace a “smart casual” dress code and work at ergonomic desks.
• Need to reenergize? Take a break to chat in the onsite café, go for a walk on one of the beautiful trails in our office park, or get in a quick workout at one of the campus gyms.

So, think you want to join the HPI team? We hope to hear from you!

You can read more about us at hpitpa.com/about-us/careers/

EEO/AA/M/F/Vet/Disability Employer