Complex Case Manager RN – Maternity, NICU

Role Overview

• Assess health management needs of the assigned member panel
• Develop care plans and encourage behavior changes
• Monitor and maintain quality outcomes for specified panel of members
• Ensure activities comply with regulatory requirements

Requirements

• Required High School Diploma/GED
• 7 years of any combination of clinical, case management and/or disease/condition management experience, provider operations and / or health insurance experience
• Current State of PA RN licensure OR Current multi-state licensure through the enhanced Nurse Licensure Compact (eNLC) or WV or DE or NY
• Certification in Case Management (preferred)
• Advanced training and experience in cognitive behavioral therapy (CBT), motivational interviewing or dialectical behavior therapy (DBT) (preferred)

Benefits

• Health insurance
• 401(k) matching
• Paid time off