Field Case Manager
Sedgwick
Registered Nurse Case Manager
Arkansas Blue Cross and Blue Shield
full-time
Posted on:
Origin: • 🇺🇸 United States
Visit company websiteJob Level
Mid-LevelSenior
About the role
- 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
Requirements
- Bachelor's degree in Nursing preferred
- Registered Nurse (RN) with current active state license in good standing in the state(s) where job duties are performed required
- Case management certification required (CCM, ACM, or RN-BC) or obtain URAC recognized within three years of hire
- Minimum four (4) years' clinical practice experience in case management, home health, critical care, medical/surgical, discharge planning, concurrent review, or obstetric/neonatal care
- Excellent oral & written communication skills
- Detail-Oriented
- Proficiency in Microsoft Office (Word, Excel, Outlook) and ability to navigate multiple systems
- Ability to make sound judgements and decisions based on facts and guidelines
- Ability to build collaborative relationships
- Ability to interpret complex documentation
- Ability to work independently with little supervision
