Remote Telephonic Nurse Case Manager I and II

Location: Georgia

Compensation: To Be Discussed

Staff Reviewed: Thu, Jul 08, 2021

This job expires in: 9 days

Job Category: Case Management

Remote Level: Partially Remote

Weekly Hours: Full Time

Employer Type: Employer

Career Level: Experienced

Education Level: Bachelors

Job Summary

A health insurance provider needs applicants for an opening for a Remote Telephonic Nurse Case Manager I and II.

Candidates will be responsible for the following:

  • Implementing care plan through authorizations/referrals as appropriate within benefits structure or extra-contractual arrangement
  • Coordinating internal and external resources to meet identified needs
  • Interfacing with Medical Directors and Physician Advisors on the development of care management treatment plans

Skills and Requirements Include:

  • Requires a BA/BS in a health related field
  • Current, unrestricted RN license in applicable state(s) required
  • Minimum 2 years "telephonic" Case Management experience with a Managed Care Company
  • Minimum 2 years experience in acute care setting
  • Demonstrate critical thinking skills when interacting with members
  • Experience with (Microsoft Office) and/or ability to learn new computer programs/systems/software quickly

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