Nurse Case Manager I responsible for care management of members with chronic care needs. Implementing and coordinating care plans remotely while monitoring effectiveness.
Responsibilities
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
Conducting assessments to identify individual needs
Implementing care plan by facilitating authorizations/referrals
Coordinating internal and external resources to meet identified needs
Monitoring and evaluating effectiveness of the care management plan
Assisting in problem solving with providers, claims or service issues
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
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