-
CategoryHealthcare
-
No of Jobs1
-
Apply Before09/23/2025
Description
Guidehealth, Remote RN Case Manager - Application via WayUp
WayUp - Naperville, IL
Job Title: Guidehealth, Remote RN Case Manager - Application via WayUp
Position: RN Case Manager
Job Type: Full Time
Pay: $75,000.00 to $85,000.00
Shift:
Work Type: Remote
Location
Address:
City: Naperville
State: IL
ZIP Code:
Job Responsibilities
- Pull, sort, and analyze data to determine member eligibility for the Population Health management Program.
- Coordinate and provide care that is timely, effective, equitable, safe, and member-centric while following HMO processes.
- Manage case assignments, including outreach, documentation, monitoring for case progression, and case closure.
- Meet reporting and documentation standards while engaging in collaborative meetings with department staff and clients.
- Assist members in reaching wellness and health autonomy by addressing barriers, social determinants, member motivators, and psychosocial issues.
- Help members make informed decisions by educating them on navigation through the HMO and healthcare spectrum while promoting quality and cost-effective interventions and outcomes.
- Support operational aspects of the division to meet the organization’s customer requirements and satisfaction.
- Maintain confidentiality related to all computer programs, medical records, and data.
- Participate in QM/UM Committee Meetings, including material preparation, minutes, data collection, analysis, reporting, and follow-up tasks which may require in-person attendance.
- Rotate in off-hour/weekend calls if applicable.
- Pursue continued professional growth and education as outlined in the Illinois Practice Act.
- Other responsibilities as assigned and per any changes in annual program requirements.
Required Skills
Core Skills
- Current IL Registered Nurse License
- Five years of experience in a variety of health care settings
- Case Management and Chronic Condition Management expertise
- Knowledge of utilization review, quality improvement, managed care, and/or community health
- Basic knowledge of case management principles, healthcare management, and reimbursement components
- Experience in motivational interviewing
- Strong organizational, problem solving, and time management skills
- Ability to work independently and remotely in a fast-paced environment
- Proficiency in software including MS Word, Excel, Access, PDF, Outlook
- Experience navigating multiple EMRs
- High speed/secured home internet connection
Preferred Skills
- Certification in Case Management
Requirements
Experience: Minimum of five years of experience in a variety of health care settings
Education:
License & Certification:
- Current IL Registered Nurse License
Schedule:
COVID-19 Requirements: Not Specified
Benefits
- Work from Home flexibility
- Comprehensive Medical, Dental, and Vision plans
- 401(k) plan with a 3% employer match
- Life and Disability insurance
- Voluntary Life options
- Employee Assistance Program (EAP)
- Paid time off plans
- Paid parental leave
- Resources for professional growth and development
Supplemental Pay
- Not specified
Special Notes
- Diversity, inclusion, and belonging are core values at Guidehealth.
- Equal opportunity employer.
Facility Details
Name: WayUp
Description: A fully remote company dedicated to advancing value-based healthcare.
Specialties:
- Not specified
Mission: To thrive together, driven by accountability, continuous learning, collaborative innovation, and empathy in action.
Job Info
Discipline:
Department:
Status:
Sourcing
Duration:
Experience:
Career Level:
No of Jobs:
1
Apply Before:
09/23/2025
Posted:
06/23/2025
