Nurse Case Manager/Nurse Advocate- Wichita, KS (Remote)ID-10694

May 13, 2025

Serve as the primary point of contact for members seeking assistance with navigating the healthcare system.
Work with members to identify their healthcare needs and provide clinical support.
Liaison with TPAs and insurance companies to resolve claim and billing issues.
Educate members on healthier lifestyle, member benefits and how to effectively utilize them.
Advocate for members so they can receive improved healthcare outcomes, including referrals to specialists and timely access to care.
Collaborate with other healthcare professionals, including physicians and nurses to ensure seamless coordination of care.
Monitor member health status and progress towards achieving their healthcare goals.
Maintain accurate and up-to-date records of member interactions and healthcare interventions.
Client facing reporting with the potential for limited travel to client worksites.
Health Risk Assessment review to encourage lifestyle modification and improve overall wellness.

Qualifications:

Active nursing license with a Bachelor of Science in Nursing (BSN) degree preferred.
Minimum of 3 years of experience as a nurse case manager or in a related healthcare field.
CCM certification or CCM eligible. Commit to CCM exam within the first year.
In-depth knowledge of the healthcare and insurance systems.
Strong analytical and problem-solving skills with the ability to identify and resolve complex healthcare issues.
Excellent communication and interpersonal skills with the ability to interact effectively with employees and healthcare professionals.
Ability to work remotely, independently, and as part of a team in a fast-paced, dynamic environment.
Strong organizational skills with the ability to manage multiple tasks and priorities simultaneously.
Proficient in the use of electronic health records (EHRs), Outlook, Excel, and other healthcare-related software.

If you are passionate about helping others and have a solid understanding of the healthcare system, we encourage you to apply for this exciting opportunity as a Case Manager Nurse Advocate with our growing organization.

Questions... Please reach out to deank@synergyhealthcare.net today!

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