Hybrid Telephonic Nurse Case Manager II

Posted 3 months ago

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About the role

  • Telephonic Nurse Case Manager managing care for members with complex and chronic needs. Requires multi-state licensure and experience in telephonic case management with a Managed Care Company.

Responsibilities

  • Responsible for care management within the scope of licensure for members with complex and chronic care needs
  • Assess, develop, implement, coordinate, monitor, and evaluate care plans designed to optimize member health care
  • Conduct assessments to identify individual needs and develop specific care management plans
  • Implement care plans by facilitating authorizations/referrals
  • Monitor and evaluate effectiveness of care management plans and modify as necessary
  • Negotiate rates of reimbursement and assist with provider/service issues

Requirements

  • Requires BA/BS in a health related field and 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
  • Minimum 2 years' experience in acute care setting
  • Minimum 2 years telephonic Case Management experience with a Managed Care Company
  • Ability to manage, review and respond to emails/instant messages in a timely fashion

Benefits

  • Health insurance
  • 401(k) matching
  • Paid time off
  • Flexible work arrangements
  • Incentive and recognition programs
  • Stock purchase plan
  • Paid holidays
  • Wellness programs and financial education resources

Job title

Telephonic Nurse Case Manager II

Job type

Experience level

Mid levelSenior

Salary

$76,944 - $126,408 per year

Degree requirement

Bachelor's Degree

Location requirements

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