Job is Expired
Location: Alabama, Arkansas, Florida, Georgia, Idaho, Indiana, Michigan, Ohio
Compensation: To Be Discussed
Staff Reviewed: Fri, Jul 23, 2021
Job Summary
A health insurance company has a current position open for a Remote Registered Nurse Care Manager I or II.
Core Responsibilities Include:
- Ensuring member access to services appropriate to their health needs
- Conducting assessments to identify individual needs and a specific care management plan to address goals and objectives
- Implementing care plan by facilitating authorizations/referrals as appropriate
Qualifications Include:
- Current, unrestricted RN license in applicable state(s)
- Multi-state licensure is required if this individual is providing services in multiple states
- Knowledge of medical management process, ability to interpret and apply member contracts, member benefits, and managed care products
- Requires 3 years of acute care clinical experience, condition specific clinical experience, home health/discharge planning experience
- 1+ year in a Nurse Care Mgr I role or equivalent experience; or combination of education and experience providing an equivalent background