Registered Nurse Obstetrics Case Manager
About the position
Responsibilities
• Ensures member access to services appropriate to their health needs.
• Conducts assessments to identify individual needs and develops a specific care management plan.
• Implements care plans by facilitating authorizations/referrals as appropriate.
• Coordinates internal and external resources to meet identified needs.
• Monitors and evaluates the effectiveness of the care management plan and modifies as necessary.
• Interfaces with Medical Directors and Physician Advisors on care management treatment plans.
• Negotiates rates of reimbursement, as applicable.
• Assists in problem-solving with providers, claims, or service issues.
Requirements
• Current, active unrestricted RN license in the state of Indiana.
• BA/BS in a health-related field and minimum of 3 years of clinical experience, or equivalent education and experience.
Nice-to-haves
• OB nursing experience is strongly preferred.
• Case management experience.
• Previous managed care experience preferred.
• Discharge planning experience.
• Substance Use Experience is preferred.
Benefits
• 401(k)
• 401(k) matching
• Dental insurance
• Health insurance
• Life insurance
• Paid time off
• Vision insurance
Apply tot his job
Apply To this Job