Deliver comprehensive case management services through telephonic and/or face-to-face interactions
Assessing, planning, implementing, and coordinating care strategies to support members' medical needs
Reviewing prior claims, evaluating work capacity, and determining the need for referrals to clinical resources
Conducting holistic assessments that consider co-morbid conditions, functional limitations, and social determinants of health
Collaborating with supervisors and multidisciplinary teams

An active and unrestricted RN license in the state of residence
3+ years' experience of acute care and/or case management
2+ years' Med/Surg experience
Strong telephonic communication skills
Ability to manage multiple priorities, effective organizational, and time management skills
Associate's Degree in Nursing
Must be willing to work Mon-Fri 8-430 PST time zone

Case Manager, Registered Nurse

Key skills