North Carolina Licensed Case Manager

Job Summary

To enhance clinical outcomes in a remote setting, the North Carolina Licensed Case Manager will coordinate healthcare services, conduct comprehensive assessments, and develop individualized care plans while engaging with members and care teams.

Key responsibilities

• Conduct comprehensive clinical assessments and create tailored care plans addressing medical, behavioral, and social needs
• Coordinate services across various healthcare settings, including hospitals and home-based care
• Maintain ongoing communication with members and care teams to evaluate progress and adjust care strategies as needed

Required qualifications

• Active North Carolina RN license or Compact RN license in good standing
• Minimum of 3 years of clinical nursing and/or case management experience
• Prior telephonic case management experience within a health insurance or managed care organization
• Experience supporting Medicare and/or Medicaid populations, with a preference for behavioral health case management
• Strong skills in care coordination, assessment, and documentation, with the ability to work independently in a remote environment