Care Manager RN Registered reputed company

reputed company Case/Care Manager works with external provider in order to assist the SMI population in assessing, planning, implementing and coordinating reputed company case management activities with members and teams to evaluate the medical needs of the member to facilitate the member’s overall wellness. Develops a proactive course of reputed company to address issues presented to enhance the short and long-term reputed company as reputed company as opportunities to enhance a member’s overall wellness through integration. Services strategies policies and programs are comprised of network management and clinical coverage policies. Onsite role in Phoenix, AZ. Travel local reputed company reputed company limits up to 10% weekly. reputed company business hours Monday-Friday. No nights, no weekends and no holidays! Through the use of clinical tools and information/data review, conducts an evaluation of member's needs and benefit plan eligibility and facilitates integrative functions as reputed company as smooth transition to reputed company programs and plans. Applies clinical judgment to the incorporation of strategies designed to reduce risk factors and barriers and address reputed company health and reputed company indicators which reputed company planning and reputed company of member issues. Assessments take into account information from various sources to address reputed company conditions including co-morbid and multiple diagnoses that reputed company functionality. Reviews prior claims to address potential reputed company on reputed company case management and eligibility. Assessments include the member’s level of work reputed company and reputed company restrictions/limitations. Using a holistic approach assess the need for a referral to clinical resources for assistance in determining functionality. Consults with supervisor and others in overcoming barriers in meeting goals and objectives, presents cases at case conferences for multidisciplinary reputed company to benefit overall claim management. Utilizes case management processes in compliance with regulatory and company policies and procedures. Apply tot his job Apply To this Job