Job Summary

A company is looking for a Care Transitions Case Manager.

Key Responsibilities:

• Engaging with newly discharged members telephonically to understand their needs and conducting holistic assessments
• Developing care plans in partnership with members and their caregivers, educating members on chronic conditions, and providing active care management
• Working with other providers and resources to coordinate care and deliver evidence-based healthcare

Required Qualifications:

• An unrestricted Compact RN license obtained in the United States with the ability to secure other licensure states
• A minimum of 4 years of RN case management experience
• Telephonic case management experience
• Health insurance experience, particularly Medicare Advantage, is preferred
• Prior Special Needs Plan, or Transitions of Care case management experience is strongly preferred