Case Manager – Registered Nurse

Role Overview

• Develops a proactive course of action to address issues presented to enhance short and long-term outcomes.
• Conducts evaluations of member’s needs and benefit plan eligibility to facilitate integrative functions.
• Applies clinical judgment to reduce risk factors and address complex health and social indicators.
• Reviews prior claims to address potential impact on current case management and eligibility.
• Utilizes case management processes in compliance with regulatory and company policies and procedures.

Requirements

• Must be a Registered Nurse with active current and unrestricted RN licensure in state of residence.
• Must have the ability to obtain multi-state/compact licensure and the ability to be licensed in all states.
• 3+ years clinical practice experience as an RN required
• Requires strong technical skills for working with multiple monitors and programs, proficiency with MS Office Suites (Outlook, Word, Excel)

Benefits

• medical, dental, and vision coverage
• paid time off
• retirement savings options
• wellness programs
• comprehensive benefits package designed to support the physical, emotional, and financial well-being of colleagues and their families