Nurse Case Manager

Valenz® Health simplifies the complexities of self-insurance for employers through a steadfast commitment to data transparency and decision enablement powered by its Healthcare Ecosystem Optimization Platform. Offering a strong foundation with deep roots in clinical and member advocacy, alongside decades of expertise in claim reimbursement and payment validity, integrity, and accuracy, as well as a suite of risk affinity solutions, Valenz optimizes healthcare for the provider, payer, plan, and member. By establishing “true transparency” and offering data-driven solutions that improve cost, quality, and outcomes for employers and their members, Valenz engages early and often for smarter, better, faster healthcare.

About Our Opportunity

As a Nurse Case Manager, you will play a critical role in coordinating and managing healthcare services for patients, ensuring optimal care delivery and facilitating effective communication among various healthcare providers. With your nursing expertise and case management skills, you’ll provide comprehensive care coordination and support to patients throughout their healthcare journey.

The Nurse Case Manager collaborates with patients, families, physicians, and other healthcare professionals to develop and implement personalized care plans, monitor patient progress, and advocate for the best possible outcomes.

Things You’ll Do Here:

• Coordinate and manage healthcare services for patients, ensuring comprehensive care delivery and effective communication among healthcare providers.
• Assess patients' healthcare needs and develop personalized care plans based on their conditions and goals.
• Advocate for patients' rights, preferences, and needs, and help them navigate the healthcare system.
• Monitor patients' progress, adherence to treatment plans, and evaluate the effectiveness of interventions.
• Maintain accurate documentation of patient assessments, care plans, and outcomes.
• Generate reports on patient progress, outcomes, and utilization of healthcare resources.
• Provide patient education on medication administration, and self-care techniques.
• Offer emotional support and counseling to patients and their families, addressing their concerns and fears.
• Promote health and wellness by encouraging preventive measures and healthy lifestyle choices.
• Adhere to the applicable URAC Standards, CMSA’s Standards of Practice, state, local, and federal laws and Valenz’s policies and procedures.
• Partner with internal teams to identify health plan coverage savings as appropriate.

Reasonable accommodation may be made to enable individuals with disabilities to perform essential duties.

Where You’ll Work

This role is a fully remote role.

Why You Will Love Working Here

We offer employee perks that go beyond standard benefits and compensation packages – see below!

At Valenz, our team is committed to delivering on our promise to engage early and often for smarter, better, faster healthcare. We want everyone engaged within our ecosystem to be strong, vigorous, and healthy. You’ll find limitless growth opportunities as we grow together. If you're ready to utilize your skills and passion to make a significant impact in the healthcare self-funded space, Valenz might be the perfect place for you!

Perks and Benefits

• Generously subsidized company-sponsored Medical, Dental, and Vision insurance.
• Spending account options: HSA, FSA, and DCFSA
• 401K with company match and immediate vesting.
• Flexible working environment.
• Generous Paid Time Off to include Vacation, Sick, and Paid Holidays.
• Paid maternity and paternity leave.
• Community giveback opportunities, including paid time off for philanthropic endeavors.

At Valenz, we celebrate, support, and thrive on inclusion, for the benefit of our associates, our partners, and our products. Valenz is committed to the principle of equal employment opportunity for all associates and to providing associates with a work environment free of discrimination and harassment. All employment decisions at Valenz are based on business needs, job requirements, and individual qualifications, without regard to race, color, religion or belief, national, social, or ethnic origin, sex (including pregnancy), age, physical, mental or sensory disability, HIV Status, sexual orientation, gender identity and/or expression, marital, civil union or domestic partnership status, past or present military service, family medical history or genetic information, family or parental status, or any other status protected by the laws or regulations in the locations where we operate. We will not tolerate discrimination or harassment based on any of these characteristics.

What You’ll Bring to the Team:

• 3+ years of direct case management experience, with a demonstrated ability to develop, implement, and monitor personalized care plans, coordinate healthcare services, and collaborate with multidisciplinary teams for optimal patient outcomes.
• RN License with an active and unrestricted license to practice in the state of primary residence - compact license preferred.
• Experience in a deadline driven environment with a knack for organization and detail.
• Ability to comprehend the consequences of various problem situations and to refer such problems to the appropriate individual (or supervisor) for decision-making.
• Excellent communication skills to liaise between patients, families, and healthcare professionals.
• Patience and resilience, especially when faced with challenging situations.

A plus if you have:

• Additional state licensures
• Certified Case Manager (CCM), Chronic Care Professional (CCP), etc. or willingness to obtain CCM in 18 months of hire.