About the role

  • Nurse Case Manager I managing complex care needs for members with a focus on optimal health outcomes. Role involves assessments, care plan coordination, and collaboration with medical professionals.

Responsibilities

  • Perform care management within the scope of licensure for complex and chronic care needs
  • Assess, develop, implement, coordinate, monitor, and evaluate care plans
  • Conduct assessments to identify individual needs
  • Implement care plans by facilitating authorizations/referrals
  • Monitor and evaluate effectiveness of care management plans
  • Interface with Medical Directors and Physician Advisors
  • Assist in problem solving with providers, claims or service issues

Requirements

  • Requires BA/BS in a health related field and minimum of 3 years of clinical experience
  • Current, unrestricted RN license in applicable state(s) required
  • Multi-state licensure is required if providing services in multiple states
  • Certification as a Case Manager is preferred
  • HIP experience preferred

Benefits

  • health insurance
  • 401(k) contribution
  • comprehensive benefits package
  • incentive and recognition programs
  • stock purchase plan
  • paid time off
  • wellness programs
  • financial education resources

Job title

Nurse Case Manager

Job type

Experience level

Mid levelSenior

Salary

$65,600 - $118,080 per year

Degree requirement

Bachelor's Degree

Location requirements

Report this job

See something inaccurate? Let us know and we'll update the listing.

Report job