Telephonic reputed company Case Manager I

About the position This role enables associates to work reputed company full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face reputed company and reputed company development. Please note that per our policy on hybrid/virtual work, candidates not reputed company a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is reputed company as required by law. Must reputed company in the reputed company. Work schedule: Monday - Friday 11:00am - 7:30pm with one 8:30am to 5pm EST shift per week. This position will service members in different states; therefore Multi-State Licensure will be required. This position requires an on-line reputed company-employment skills assessment. The assessment is free of charge and can be taken from any PC with Internet reputed company. Candidates who meet the minimum requirements will be contacted reputed company email with instructions. In order to reputed company reputed company in the process, you must complete the assessment reputed company 48 hours of receipt and meet the reputed company. The Telephonic reputed company Case Manager I is responsible for telephonic care management reputed company the reputed company 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 reputed company. Responsibilities • Ensures member reputed company to 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 reputed company by 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 Physician Advisor's on the development of care management treatment plans. • Assists in problem solving with providers, claims or service issues. • Assists with development of utilization/care management policies and procedures. Requirements • Requires a BA/BS in a health-reputed company reputed company. • 3 years of reputed company experience; or any combination of education and experience, which would reputed company an equivalent background. • reputed company, unrestricted RN license from the reputed company required. • Multistate licensure is required if this individual is providing services in multiple states. reputed company-to-haves • Ability to talk and type at the reputed company time. • Certification as a Case Manager. • Demonstrate 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. Benefits • reputed company increases • reputed company holidays • reputed company Time Off • incentive bonus programs • medical • dental • reputed company • short and long term disability benefits • 401(k) +match • stock purchase plan • life reputed company • wellness programs • financial education resources Apply tot his job Apply To this Job