[Hiring] Behavioral Health RN Case Manager @Imagine360

Role Description

Imagine360 is seeking a Behavioral Health RN Case Manager to join the team! The Behavioral Health RN Case Manager is responsible for delivering case management services to individuals covered by group health plans administered by imagine360, drawing on nursing education, clinical experience, and professional judgment. The RN is a case manager serving patients with medical, behavioral health, mental health, and/or neurodevelopmental disorder needs.

• Adhere to department criteria, collaborating with physicians, providers, members, and other stakeholders.
• Assess, plan, coordinate, monitor, evaluate, and advocate for necessary options and services.
• Leverage communication and resources to enhance quality and cost-effective outcomes.
• Act as a liaison to providers, physicians, and members.
• Receive member referrals from non-Behavioral Health Case Managers and Disease Management clinicians.
• Operate within the scope of nursing practice while fulfilling these responsibilities.

Qualifications

• Nursing degree from an accredited college, university, or nursing school.
• Bachelor's degree in nursing preferred but not required.
• 3+ years' experience working with Behavioral/Mental Health patients or programs.
• 1+ years in Case Management, discharge planning, or managed care experience.
• Experience with Utilization Management and standardized criteria.
• Experience working in a URAC accredited Case Management program.
• Experience working within an insurance agency or TPA specializing in employee benefits and self-funded medical plans.

Requirements

• Ability to work independently in a home office environment.
• Computer skills include proficiency in Microsoft Outlook, Word, Excel, and PowerPoint.
• Ability to resolve problems independently and demonstrate ability to multi-task.
• Strong written, oral, and telephonic communication skills.
• Strong presentation skills.
• Demonstrated organizational skills, problem-solving, analytical skills, and detail-oriented.
• Ability to maintain the confidentiality of protected health information in compliance with HIPAA regulations.

Benefits

• Multiple Health plan options.
• Company paid employee premiums for disability and life insurance.
• Parental Leave Policy.
• 20 days PTO to start / 10 Paid Holidays.
• Tuition reimbursement.
• 401k Company contribution.
• Company paid Short & Long term Disability plus Life Insurance.
• Professional development initiatives / continuous learning opportunities.
• Opportunities to participate in and support the company's diversity and inclusion initiatives.