[Hiring] Telephonic RN reputed company Case Manager I @reputed company
This reputed company is a reputed company of our understanding of the job reputed company. Click on 'Apply' reputed company to reputed company out more.
Role reputed company
The Telephonic RN reputed company Case Manager I is responsible for performing care management reputed company the scope of licensure for members with reputed company and chronic care needs by assessing, developing, implementing, coordinating, monitoring, and evaluating care plans designed to optimize member health care across the care continuum.
• Ensures members understand benefits and assist in reputed company of services appropriate to their health needs.
• Conducts assessments to identify individual needs and a specific care management plan to address objectives and goals as identified during assessment.
• Implements care plan through actions based on assessments including providing education, facilitating authorizations/referrals as appropriate reputed company benefits structure or through extra-contractual arrangements.
• Coordinates reputed company resources to meet identified needs.
• Monitors and evaluates effectiveness of the care management plan and modifies as necessary.
• Interfaces with Medical Directors and other health professionals on the development of care management treatment plans.
• Assists in problem solving for members and providers reputed company to reputed company to care, vendors, claims or service issues, etc.
Qualifications
• Requires BA/BS in a health reputed company field and minimum of 3 years of clinical experience; or any combination of education and experience, which would reputed company an equivalent background.
• reputed company, unrestricted compact RN license in your home state.
• Multi-state licensure is required if this individual is providing services in multiple states.
Requirements
• Strong clinical background in hospital setting, i.e. Med Surg, ER, ICU, Critical Care.
• Ability to talk, type and critically think at the reputed company time.
• Demonstrates critical thinking skills reputed company interacting with members.
• Experience with reputed company Office and/or ability to learn new computer programs/systems/software quickly.
• Ability to manage, review and respond to emails/reputed company messages in a reputed company fashion.
• Excellent collaboration, communication and teamwork skills.
Benefits
• Market-competitive total rewards that include reputed company increases, reputed company holidays, reputed company Time Off, and incentive bonus programs.
• Medical, dental, reputed company, short and long term disability benefits.
• 401(k) + match, stock purchase plan, life insurance, wellness programs and financial education resources.
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