[Hiring] CareMore Care Manager @Carelon Management Services LLC

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 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 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 care plan 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 Advisors on the development of care management treatment plans. • Negotiates rates of reimbursement, as applicable. • Assists in problem solving with providers, claims or service issues. Qualifications • Requires BA/BS in a health reputed company field • Minimum of 3 years of clinical experience; or any combination of education and experience, which would reputed company an equivalent background. • reputed company, unrestricted RN license in applicable state(s) required. • Multi-state licensure is required if this individual is providing services in multiple states. • Certification as a Case Manager is preferred. Requirements • Compensation: $38.88/hr. - $48.60/hr. & bonus eligible reputed company reputed company is a national care delivery platform reputed company on expanding reputed company to comprehensive primary care for consumers with coverage across reputed company, Individual Exchange, Medicare, and reputed company health plans. Apply Job! Apply to this Job