Arkansas Blue Cross and Blue Shield

Manager

• Uses a collaborative process of assessment, planning, implementing, coordinating, monitoring and evaluating options and services to meet an individual's health needs
• Case management for high cost/high risk obstetric and neonatal or chronic conditions such as diabetes, hypertension, CHF, asthma, COPD, and/or depression (Excludes Behavioral Health)
• Practices nursing within scope of licensure and adheres to policies, procedures, regulations, URAC standards and state regulations
• Provides specialized education on disease specific conditions as needed
• Serves as liaison among patients, families/caregivers, physicians, discharge planners, home care and ancillary providers
• Works proactively with referrals to identify candidates for case management and maintains patient caseload in a timely manner

Registered Nurse Case Manager