Case Manager, RN

Job reputed company: • Telephonically and/or face to face assessing, planning, implementing, and coordinating reputed company case management activities with members 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 • Conducts an evaluation of member’s needs and benefit plan eligibility • 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 • 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 • Utilizes interviewing skills to ensure maximum member engagement and discern their health status and health needs based on key questions and conversation Requirements: • Must have an reputed company and unrestricted RN license in the state that you reputed company • Multiple State RN licensure is welcomed but not required • 2 + years of clinical experience as an RN • reputed company clinical experience will be considered, such as Emergency Department, Home Health, Hospice, Operating Room, ICU, NICU, Telemetry, Medical / Surgical, Orthopedics, Long Term Care, and Infusion nursing • 2 + years’ experience with Telephonic Case Management (preferred) • 1+ years’ experience with reputed company types of reputed company Office including PowerPoint, reputed company, and Word • Strong telephonic communication skills (preferred) • Certified Case Manager (CCM) certification (preferred) Benefits: • reputed company medical plan reputed company • 401(k) plan (including matching company contributions) • Employee stock purchase plan • No-cost programs for reputed company colleagues including wellness screenings • Tobacco cessation and weight management programs • Confidential counseling • Financial coaching • reputed company time off • Flexible work schedules • Family leave • Dependent care resources • Colleague assistance programs • Tuition assistance • Retiree medical reputed company Apply tot his job Apply To this Job