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Nurse Case Manager

100% Remote (Within US)

6.0 Months

Full-Time $17-$22/hr

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Posted: Jul 07, 2026

Ref: KBNYNC7

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Position Overview

Position Summary
The Case Manager utilizes a collaborative process of assessment, planning, facilitation and advocacy for options and services to meet an individual’s benefit plan and/or health needs through communication and available resources to promote optimal, cost-effective outcomes.
Requires an RN with unrestricted active license

Through the use of clinical tools and information/data review, conducts comprehensive assessments of referred member's needs/eligibility and determines approach to case resolution and/or meeting needs by evaluating member's benefit plan and available internal and external programs/services Application and/or interpretation of applicable criteria and guidelines, standardized case management plans, policies, procedures, and regulatory standards while assessing benefits and/or member's needs to ensure appropriate administration of benefits Utilizes case management and quality management processes in compliance with regulatory and accreditation guidelines and company policies and procedures

Key Responsibilities
Conduct telephonic visits using comprehensive assessment tools for members enrolled in Managed Long-Term Services and Supports (MLTSS). Perform in-person assessments for non-MLTSS members to determine medical needs and support appropriate service referrals (e.g., adult medical daycare, pediatric medical daycare, personal care assistant services, nursing facility custodial care, Personal Preference Program, and MLTSS enrollment).
Work with diverse populations, including pediatric and medically complex members.
Coordinate and collaborate with members, authorized representatives, primary care providers, and interdisciplinary care teams.
Schedule and participate in interdisciplinary meetings, advocating for members to ensure safe transitions and appropriate services.
Develop individualized care plans and authorize services within MLTSS/FIDE program benefits in a cost-effective manner.
Document all assessments, interactions, and care planning activities accurately and in a timely manner in the electronic health record.
Utilize strong critical-thinking and problem-solving skills in daily work.
Mentor new staff once appropriate proficiency has been achieved.

Required Qualifications
Active, unrestricted RN license in NY.
Minimum of 3 years of clinical experience in settings such as hospitals, home health, or ambulatory care.
Required: Must be fluent in English/Spanish (writing, reading, speaking).

Preferred Qualifications
Experience in case management and/or discharge planning
Background in managed care
Crisis intervention skills

Education
Case Management Certification CCM preferred
Minimum of an associate degree in Nursing
Active and unrestricted RN license in the state of NY

Notes:
Fully remote
M-F 8am-5pm

VIVA is an equal opportunity employer. All qualified applicants have an equal opportunity for placement, and all employees have an equal opportunity to develop on the job. This means that VIVA will not discriminate against any employee or qualified applicant on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.

Trusted by 100+ Fortune 500 Companies

Competitive Benefits

Your well-being Matters

Health & Future Fully Covered

At VIVA, employee well-being is paramount. Our comprehensive benefits package ensures your health, financial security, and quality of life are always prioritized.

Health Insurance

VIVA provides employees access to a comprehensive group health insurance plan (Medical, Dental, Vision, Basic Life, Term Life, and Accidental Death) through our flexible PPO plan-allowing you the freedom to choose healthcare providers.

401(k) Retirement Planning

Plan securely for your future with automatic payroll deductions into a tax-advantaged 401(k) retirement plan, including employer-matching contributions for eligible employees.

Performance Bonuses & Referrals

Earn performance-based bonuses and generous referral incentives of up to $500 when recommending talented candidates who become part of the VIVA family.

Biweekly Direct Deposit

Enjoy timely and convenient payroll with biweekly direct deposit to your chosen financial institution. Biweekly Direct Deposit

VIVA Perks Program

Access exclusive employee discounts and savings on electronics, travel, groceries, apparel, and more through our dedicated VIVA Perks Program.

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