Nurse Case Manager I

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
• conducting assessments to identify individual needs
• implementing care plan by facilitating authorizations/referrals as appropriate
• coordinating internal and external resources to meet identified needs
• monitoring and evaluating effectiveness of the care management plan
• interfacing with Medical Directors and Physician Advisors

Requirements

• 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 is preferred
• BS in a health or human services related field is preferred

Benefits

• comprehensive benefits package
• incentive and recognition programs
• equity stock purchase
• 401k contribution
• Paid Time Off
• merit increases
• paid holidays
• flexible working hours
• wellness programs
• financial education resources