RN Case Manager
Conquest HealthcareLocation not specified
Posted December 12, 2025
Full Time
About the Company
Conquest Healthcare is a global healthcare solutions provider specializing in back‑office operations that enable clinical teams to focus on patient care. Their portfolio includes BPO, recruitment, RPO, staffing, medical billing and coding, compliance, credentialing, background checks, and RN home‑health and utilization review services. By streamlining administrative processes and ensuring rapid, accurate delivery of paperwork, Conquest reduces bottlenecks and improves operational efficiency for hospitals, physician groups and home‑health agencies. Their commitment to quality and speed sets them apart in a crowded market, making them a trusted partner for organizations seeking seamless, compliant support.
Job Description
RN Case Manager responsibilities include using clinical tools, creating individualized treatment plans, determining insurance eligibility, and communicating with patients, physicians, and insurance companies.
Requirements
- Use clinical tools, data and other information to complete assessments of patient needs
- Create individualized and comprehensive case management and treatment plans
- Determine insurance eligibility for various treatments and treatment programs
- Clearly explain the reason for prescribed treatments and treatment plans to patients
- Educate patients on benefits, services and other resources, including payment options
- Communicate with patients, physicians and insurance companies to secure successful outcomes
- Document complex medical information to outline and improve health results
- Follow case and quality management processes in compliance with regulatory guidelines and company procedures
