Case Management Nurse

RN Case Manager - Autism Care Demonstration (ACD) Program (Fully Remote) Contract Position with Potential for Permanent Conversion MST Hours States: Alaska, Hawaii, Illinois, Minnesota, Nevada, Oregon Job Summary: This contract position, with the potential to convert to a permanent role after 3 months, focuses on providing case management services for beneficiaries in the Autism Care Demonstration (ACD) program. The RN Case Manager will coordinate care for individuals diagnosed with autism spectrum disorder (ASD), ensuring families have access to the necessary resources and advocating for high-quality, cost-effective care. This role requires expertise in care coordination, assessment, planning, and facilitation, with a strong understanding of clinical and regulatory requirements. Responsibilities: • Care Coordination & Case Management: Screen beneficiaries for program eligibility and assess their needs. Develop and update comprehensive care plans (CCPs) in collaboration with beneficiaries, families, and providers. • Advocacy & Resource Management: Act as a dedicated advocate, ensuring beneficiaries have access to appropriate services, including those outside the network. Help families navigate systems and identify community resources, support services, and funding options. • Enrollment & Benefits Education: Educate beneficiaries and families on ACD benefits, assist with the enrollment process, and ensure timely notifications about enrollment decisions. • Collaboration & Care Team Participation: Coordinate with civilian and military providers, participate in medical team meetings, and facilitate communication within the care team to ensure a holistic approach to care. • Compliance & Documentation: Adhere to HIPAA regulations and accreditation standards. Maintain accurate and up-to-date documentation in the medical management system, including care plans, reassessments, and case outcomes. • Reporting & Case Review: Prepare complex cases for review with the Medical Director and address any care coordination issues requiring higher-level intervention. • Supervision of Administrative Staff: Oversee non-clinical staff involved in administrative tasks related to care planning and ensure timely, accurate completion of duties. Qualifications: • Current, unrestricted licensure as a Registered Nurse (RN) in the U.S. • Minimum of 3 years of direct clinical care experience, with experience in pediatrics, behavioral health, or autism spectrum disorder (ASD). • Proven experience in case management or autism services. • Ability to obtain a case management certification within 4 years of hire. • U.S. Citizenship and eligibility for a Department of Defense (DoD) background check. Note: This is a remote position open only to candidates residing in Alaska, Hawaii, Illinois, Minnesota, Nevada, and Oregon. Apply Job!