Nurse Case Manager II

Role Overview

• 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
• Ensure member access to services appropriate to their health needs
• Conduct assessments to identify individual needs
• Implement care plan by facilitating authorizations/referrals
• Coordinate internal and external resources to meet identified needs
• Monitor and evaluate effectiveness of the care management plan
• Interface with Medical Directors and Physician Advisors

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) required
• Multi-state licensure if providing services in multiple states
• Certification as a Case Manager preferred
• BS in a health or human services related field preferred.

Benefits

• comprehensive benefits package
• incentive and recognition programs
• equity stock purchase
• 401k contribution
• merit increases
• paid holidays
• Paid Time Off
• incentive bonus programs
• medical benefits
• dental benefits
• vision benefits
• short and long term disability benefits
• life insurance
• wellness programs
• financial education resources