Perform care management within scope of licensure for members with complex and chronic care needs
Assess, develop, implement, coordinate, monitor, and evaluate care plans
Conduct assessments to identify individual needs and specific care management plans
Facilitate authorizations/referrals as appropriate within benefits structure
Coordinate internal and external resources to meet identified needs
Monitor and evaluate effectiveness of care management plans
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 required if providing services in multiple states
Certification as a Case Manager (preferred)
Benefits
Comprehensive benefits package
Incentive and recognition programs
Equity stock purchase
401k contribution
Paid holidays
Paid Time Off
Medical benefits
Dental benefits
Vision benefits
Short and long term disability benefits
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
care managementassessmentcare plan developmentcare plan implementationcare plan coordinationmonitoringevaluationauthorization facilitationreferral coordination