Case Manager, Registered Nurse

Role Overview

• Utilize a collaborative process of assessment, planning, facilitation and advocacy for options and services
• Conduct comprehensive clinical assessments
• Evaluate needs and develop flexible approaches based on member needs
• Advocate for patients to the full extent of existing health care coverage
• Promote quality, cost effective outcomes
• Identify and escalate quality of care issues through established channels
• Provide a very high level of customer service
• Utilize assessment techniques to determine member’s level of health literacy
• Utilize influencing/motivational interviewing skills
• Provide coaching, information, education, and support to empower the member

Requirements

• Active and unrestricted RN license in their state of residence
• 3+ years of acute care experience as an RN
• 3+ years of experience with Microsoft Office suite of products
• Compact RN License preferred
• Certified Case Manager (CCM) preferred
• Case Management experience preferred
• Managed Care experience preferred
• Telephonic case management and/or telephonic customer service center experience preferred
• 2+ years of Oncology Care experience preferred
• Minimum of Associate Degree in Nursing required

Benefits

• medical, dental, and vision coverage
• paid time off
• retirement savings options
• wellness programs
• comprehensive benefits package