North Carolina Licensed Care Manager

Job Summary

A company is looking for an Episodic Care Manager.

Key Responsibilities

• Perform clinical reviews to assess and coordinate health care services for members
• Collaborate with providers and internal staff to ensure quality and compliance in care delivery
• Document clinical evaluations and communicate findings effectively

Required Qualifications

• RN with 3 years of clinical experience or LPN with 5 years of clinical experience
• Valid and applicable clinical license (NC or compact multi-state licensure)
• Experience in clinical evaluation and review processes
• Knowledge of medical policies and care guidelines
• Ability to analyze and interpret clinical information