Pennsylvania Licensed Nurse Case Manager
Job Summary
To support a growing healthcare practice, the full-time Pennsylvania Licensed Nurse Case Manager will conduct comprehensive assessments, evaluate benefit plans, and promote optimal outcomes while working remotely during standard business hours.
Key responsibilities
- Conduct comprehensive assessments of referred members' needs and eligibility using clinical tools and data review
- Evaluate benefit plans and available programs to determine the appropriate approach to case resolution
- Utilize case management processes in compliance with regulatory guidelines and company policies
Required qualifications
- Active unrestricted RN license in Pennsylvania or a Compact RN License
- Associate's Degree in Nursing (ASN) required; Bachelor's Degree (BSN) preferred
- 3 years of clinical practice experience in settings such as hospital, home health, or ambulatory care
- 3-5 years of experience in the healthcare and/or managed care industry
- Proficiency in computer skills, including navigating multiple systems
Complete Job Description
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