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
Valuation Advisory Associate/Senior/Manager supporting valuation engagements for Kaufman Rossin, a leading accounting firm. Collaborating with team members to deliver quality services in business valuation.
Assistant Highway Group Manager overseeing transportation infrastructure projects in Minnesota for the DOT. Responsible for team leadership, technical specifications, and project management.
Environmental Services Manager leading operations at Baylor Scott White Hospital. Ensuring safety and sanitation standards while managing a team of 50 employees.
Credit Portfolio Manager I managing commercial real estate borrowers in the Metro area. Evaluating credit risk and supporting a commercial banking team with financial analyses and loan decisions.
General Manager leading one of CLS Living's vibrant student housing communities. Overseeing operations, team development, financial performance, and strategic planning while delivering best - in - class service.
Senior Manager driving strategic planning and performance insights for The Cigna Group. Serving as a trusted advisor and operational partner to the SVP with a focus on analytical rigor.
Floating Leasing Manager overseeing marketing, sales activities, and leasing team for Greystar properties. Responsible for meeting revenue, occupancy, and leasing goals across multiple locations.
Project Manager at Omexom Energy Projects GmbH managing energy supply and distribution projects. Leading cross - functional teams and ensuring project budgets and timelines.
Kaufmännische Teamassistenz / Projektmanager für REM CAPITAL mit Fokus auf Fördermittel und Projektmanagement. Verwaltung von Projekten, Kommunikation mit Förderträgern und Kunden.