Manage a small team of data analysts to optimize analytics systems for Consumer Services. Identify trends to improve business insights and decision - making at Western Union.
About the role
- Telephonic Nurse Case Manager Senior managing care for members with complex health needs. Responsible for developing and implementing care plans while collaborating with medical professionals.
Responsibilities
- Responsible for care management within the scope of licensure for members with complex and chronic care needs
- Assessing, developing, implementing, coordinating, monitoring, and evaluating care plans designed to optimize member health care across the care continuum
- Performs duties telephonically or on-site for discharge planning
- Ensures member access to services appropriate to their health needs
- Conducts assessments to identify individual needs and develops a care management plan
- Implements care plan by facilitating authorizations/referrals as appropriate
- Coordinates internal and external resources to meet identified needs
- Monitors and evaluates effectiveness of the care management plan
- Interfaces with Medical Directors and assists in problem solving with providers and claims
- Participates in department audit activities
Requirements
- Requires 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 required if providing services in multiple states
- Certification as a Case Manager is preferred
- BS in a health or human services related field is preferred
Benefits
- Sign on Bonus: $2000
- Paid Time Off
- Medical benefits
- Dental benefits
- 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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