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From Home Solis Health Jobs (NOW HIRING)

SOLIS Health Plans

Case Management Nurse

Miami, FL · On-site

Case Management Nurse Solis Health Plans is looking for a Case Management Nurse (RN) who works for ... Nursing Degree from an accredited nursing program and be licensed as a registered nurse (RN) in the ...

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Solis Health Plans

Warehouse Fulfillment Clerk

Miami, FL · On-site

$16.50/hr

Solis Health Plans is a new kind of Medicare Advantage company. We provide solutions that are ... Our company has experienced exponential growth in membership from 2,000 members to over 10,000 ...

Solis Mammography

Patient Service Representative

Plano, TX · On-site

$16.75 - $21.50/hr

Responsible for collecting patient payments which can include explaining benefits given from ... At Solis Mammography, we save lives. We shape the future of women's health. We are empowered ...

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From Home Solis Health information

What is the difference between From Home Solis Health vs Medical Billing Specialist?

AspectFrom Home Solis HealthMedical Billing Specialist
CredentialsRelevant certifications, such as CPC or CPC-A, preferredCertification often required, such as CPC or equivalent
Work EnvironmentRemote, home-based settingTypically office-based or remote, depending on employer
Industry UsageHealthcare, telehealth, insurance companiesHealthcare providers, billing companies, insurance firms
Job FocusManaging patient billing, coding, and insurance claimsProcessing medical bills, coding, and reimbursement

From Home Solis Health and Medical Billing Specialist roles both involve healthcare billing and coding, often requiring similar certifications. The main difference is that From Home Solis Health emphasizes remote work within telehealth or healthcare organizations, while Medical Billing Specialist roles can be in various settings, including offices or remote positions. Both roles are essential in healthcare revenue cycle management and often share similar credentials and industry usage.

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What cities are hiring for From Home Solis Health jobs? Cities with the most From Home Solis Health job openings:
What are the most commonly searched types of Solis Health jobs? The most popular types of Solis Health jobs are:
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From Home Solis Health jobs near you
Infographic showing various From Home Solis Health job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 77% Full Time, 17% Part Time, and 5% Contract. Highlights an 96% Physical, 1% Hybrid, and 3% Remote job distribution.

Case Management Nurse

SOLIS Health Plans

Miami, FL • On-site

Other

Posted 2 days ago

New

Job description

Case Management Nurse

Solis Health Plans is looking for a Case Management Nurse (RN) who works for a health plan, assisting patients with complex medical needs to navigate the healthcare system and access appropriate care. The Case Management Nurse is responsible for coordinating and integrating care across different providers and settings, including hospitals, primary care offices, specialty clinics, and home care agencies.

Essential Duties and Responsibilities:

  • Conducts comprehensive assessments of patients with complex medical needs to identify their physical, psychological, social, and environmental needs.
  • Develops individualized care plans that address the patient's health goals, preferences, and priorities, and aligns with evidence-based clinical guidelines and best practices.
  • Coordinates care across the healthcare continuum, including transitions of care between different settings and providers, and communicates with the patient, family, caregivers, and healthcare team members to ensure continuity and quality of care.
  • Provides patient education on self-management of chronic conditions, medication management, preventive care, and healthcare navigation.
  • Participates in quality improvement initiatives, evaluates the effectiveness of the care coordination and integration program and implements changes to improve outcomes and patient satisfaction.
  • Maintains accurate and timely documentation of patient assessments, care plans, interventions, and outcomes, using electronic health record systems.
  • Engages in ongoing professional development activities, such as continuing education, certification, and participation in professional organizations, to maintain and enhance knowledge and skills related to care coordination and integration.
  • Collaborates with other members of the healthcare team, such as physicians, social workers, pharmacists, and case managers, to ensure that patients receive coordinated and integrated care that meets their needs and preferences.
  • Works closely with the health plan's utilization management team to ensure that services are authorized and reimbursed appropriately.

Qualifications and Education:

  • Nursing Degree from an accredited nursing program and be licensed as a registered nurse (RN) in the state of Florida. A clear and active license is required.
  • 3 years of clinical experience as an RN is preferred.
  • Certification in care coordination and transition management, Certified in Case Management (Preferred).
  • Strong interpersonal and communication skills to effectively interact with patients, families, and healthcare team members. They must also have strong critical thinking, problem-solving, and decision-making skills to assess patient needs, develop care plans, and coordinate care across different settings and providers.
  • Knowledge of evidence-based clinical guidelines, care coordination and integration models, healthcare systems and policies, and quality improvement methods.

Join Solis Health Plans as a Case Management Nurse and become a catalyst for positive change in the lives of our members. At Solis, you will be part of a locally rooted organization deeply committed to understanding and serving our communities. If you are eager to embark on a purpose-driven career that promises growth and the chance to make a significant impact, we encourage you to explore the opportunities available at Solis Health Plans. Join us and be the difference!

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