Telephonic Nurse Case Manager I
Latham, New York, United States of America
Full Time
2 weeks ago
$70,560 - $110,880 USD
Visa Sponsor
Key skills
Problem Solving
About this role
Role Overview
- Performing care management within the scope of licensure for members with complex and chronic care needs
- Assessing, developing, implementing, coordinating, monitoring, and evaluating care plans
- Ensuring member access to services
- Conducting assessments to identify individual needs and care management plan
- Implementing care plan by facilitation authorizations/referrals
- Coordinating internal and external resources
- Monitoring and evaluating effectiveness of care management plan
- Interfacing with Medical Directors and Physician Advisors
- Assisting in problem solving with providers, claims or service issues
Requirements
- Requires BA/BS in a health-related field
- Minimum of 3 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 (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, dental, vision benefits
- short and long term disability benefits
- wellness programs
- financial education resources