Nurse Case Manager I

Role Overview

• The Nurse Case Manager I is responsible for care management within the scope of licensure for members with complex and chronic care needs
• Assessing, developing, implementing, coordinating, monitoring, and evaluating care plans designed to optimize member health care across the care continuum
• Performs duties telephonically or on-site for discharge planning
• Ensures member access to services appropriate to their health needs
• Conducts assessments to identify individual needs and specific care management plans
• Implements care plan by facilitating authorizations/referrals
• Coordinates internal and external resources to meet identified needs
• Monitors and evaluates effectiveness of the care management plan

Requirements

• Requires BA/BS in a health related field and minimum of 3 years of clinical experience
• Current, unrestricted RN license in applicable state(s) required
• Multi-state licensure is required if providing services in multiple states
• Certification as a Case Manager is preferred
• BS in a health or human services related field preferred

Benefits

• comprehensive benefits package
• incentive and recognition programs
• equity stock purchase
• 401k contribution