Job Summary
A health insurance company is seeking a Telecommute Telephonic Nurse Case Manager II.
Core Responsibilities of this position include:
- Performing care management within the scope of licensure for members with complex and chronic care needs by assessing, developing, implementing, coordinating, monitoring, and evaluating care plans designed to optimize member health care across the care continuum
- Ensuring member access to services appropriate to their health needs
- Conducting assessments to identify individual needs and a specific care management plan to address objectives and goals as identified during assessment
Qualifications for this position include:
- BA/BS in a health related field; 5 years of clinical experience; or any combination of education and experience, which would provide an equivalent background
- Current, unrestricted RN license in applicable state(s)
- Case Management experience preferred
- Minimum 2 years "telephonic" Case Management experience with a Managed Care Company
- Minimum 2 years experience in acute care setting
- Certification as a Case Manager is preferred
