Nurse Case Manager I managing care for members with complex needs. Responsible for coordinating care plans and collaborating with healthcare providers in the U.S.
Responsibilities
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 for care management plans
facilitating authorizations/referrals as appropriate within benefits structure
coordinating internal and external resources to meet identified needs
monitoring and evaluating effectiveness of the care management plan
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 if providing services in multiple states
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