State Licensed Nurse Care Coordinator

Job Summary

To support high-risk members' needs, the full-time remote State Licensed Nurse Care Coordinator will provide proactive utilization management, facilitate communication among interdisciplinary care teams, and ensure high-quality care coordination.

Key responsibilities

• Deliver exceptional service to members and providers through various communication channels while reviewing cases with external health plan risk teams
• Conduct intake assessments, coordinate treatment plans, and evaluate clinical data to implement action-oriented member goals
• Process referrals and prior authorizations in a timely manner, ensuring coordinated, high-value care for members

Required qualifications

• Active RN, BSN or MSN, NP in good standing
• 1-3 years of clinical experience in a healthcare setting
• Customer service experience in a health care environment
• Prior care coordination experience preferred
• Certified Case Manager preferred