Business Analysis Manager at Capital One applying strategic and analytical skills to optimize credit risk management. Leading initiatives to drive profitability and competitive success.
About the role
- Telephonic Nurse Case Manager II managing complex and chronic care needs for members. Assessing and coordinating care plans to optimize member health across a continuum of care in a virtual environment.
Responsibilities
- Assessing, developing, implementing, coordinating, monitoring, and evaluating care plans
- Conduct assessments to identify individual needs and specific care management plans
- Implement care plan by facilitating authorizations/referrals
- Coordinates internal and external resources to meet identified needs
- Monitors and evaluates effectiveness of care management plan
- Interfaces with Medical Directors and Physician Advisors on treatment plans
- Assists in problem solving with providers, claims or service issues
Requirements
- BA/BS in a health related field
- Minimum of 5 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
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