About the role

  • Nurse Case Manager II managing complex health care needs via assessment and coordination of care plans for members. Working primarily virtually with some required in-person training.

Responsibilities

  • responsible for care management for members with complex and chronic care needs
  • assessing, developing, implementing, coordinating, monitoring, and evaluating care plans
  • conducting assessments to identify individual needs
  • implementing care plan by facilitating authorizations/referrals
  • coordinating internal and external resources
  • monitoring and evaluating effectiveness of the care management plan
  • negotiating rates of reimbursement as applicable
  • assisting with development of utilization/care management policies

Requirements

  • BA/BS in a health related field
  • minimum of 5 years of clinical experience
  • Current, unrestricted RN license in applicable state(s)
  • Multi-state licensure is required if providing services in multiple states
  • Certification as a Case Manager is preferred

Benefits

  • comprehensive benefits package
  • incentive and recognition programs
  • equity stock purchase
  • 401k contribution

Job title

Nurse Case Manager II

Job type

Experience level

Mid levelSenior

Salary

$79,464 - $124,872 per year

Degree requirement

Bachelor's Degree

Location requirements

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