Job Summary
A health insurance company has a current position open for a Remote Telephonic Nurse Case Manager.
Individual must be able to fulfill the following responsibilities:
- Ensure and coordinate members access to internal and external services appropriate to their health needs
- Conduct assessments to identify individual needs and a specific care management plan to address objectives and goals
- Implement care plan by facilitating authorizations/referrals as appropriate
Qualifications for this position include:
- BA/BS in a health related field; 3 years of clinical experience
- Multistate licensure is required if this individual is providing services in multiple states
- Minimum 2 years "telephonic" Case Management experience with a Managed Care Company
- Minimum 2 years experience in acute care setting