Site Manager overseeing strategic execution and operational excellence at Concentrix. Leading management, resource allocation, and workflow strategies in a growing call center environment.
About the role
- Telephonic Nurse Case Manager responsible for care management within licensure scope in a virtual setting. Requires Georgia RN license and multi-state licensure for servicing members.
Responsibilities
- Ensures member access to services appropriate to their health needs
- Conducts assessments to identify individual needs and a specific care management plan to address objectives and goals as identified during assessment
- Implements care plan by facilitating authorizations/referrals as appropriate within benefits structure or through extra-contractual arrangements
- Coordinates internal and external resources to meet identified needs
- Monitors and evaluates effectiveness of the care management plan and modifies as necessary
- Interfaces with Medical Directors and Physician Advisors on the development of care management treatment plans
- Assists in problem solving with providers, claims or service issues
- Assists with development of utilization/care management policies and procedures
Requirements
- Requires a BA/BS in a health-related field
- 3 years of clinical experience; or any combination of education and experience, which would provide an equivalent background
- Current, unrestricted RN license from the State of Georgia required
- Multistate licensure is required if this individual is providing services in multiple states
- Ability to talk and type at the same time
- Certification as a Case Manager (preferred)
- Demonstrate critical thinking skills when interacting with members
- Experience with Microsoft Office and/or ability to learn new computer programs/systems/software quickly
- Ability to manage, review and respond to emails/instant messages in a timely fashion
Benefits
- Merit increases
- Paid holidays
- Paid Time Off
- Incentive bonus programs
- Medical, dental, vision benefits
- Short and long term disability benefits
- 401(k) + match
- Stock purchase plan
- Life insurance
- Wellness programs
- Financial education resources
Job title
Job type
Experience level
Salary
Not specified
Degree requirement
Location requirements
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