Hybrid Telephonic Nurse Case Manager II

Posted 4 days ago

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About the role

  • Ensures member access to services appropriate to their health needs
  • Conducts assessments to identify individual needs
  • Develops specific care management plan
  • Implements care plan by facilitating authorizations/referrals
  • Coordinates internal and external resources to meet needs
  • Monitors and evaluates effectiveness of care management plan

Requirements

  • Requires a BA/BS in a health-related field
  • 5 years of clinical experience
  • Current, unrestricted RN license in applicable state(s)
  • Multi-state licensure required if providing services in multiple states
  • Strong clinical background in an acute care hospital setting preferred
  • Prior telephonic Case Management experience with a Managed Care Company preferred
  • Certification as a Case Manager preferred
  • Ability to talk and type at the same time
  • Strong critical thinking skills
  • Experience with Microsoft Office and ability to learn new computer programs

Benefits

  • comprehensive benefits package
  • incentive and recognition programs
  • equity stock purchase
  • 401k contribution
  • medical, dental, vision, short and long term disability benefits
  • paid holidays
  • paid time off
  • merit increases
  • wellness programs
  • financial education resources

Job title

Telephonic Nurse Case Manager II

Job type

Experience level

Mid levelSenior

Salary

$73,280 - $126,408 per year

Degree requirement

Bachelor's Degree

Location requirements

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