Senior Manager of Managed File Transfer at Fiserv leading enterprise file - transmission platforms with significant expertise required. Managing critical B2B/B2C file transfers across the organization.
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
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