Tennessee Licensed Nurse Case Manager

Job Summary

To support healthcare outcomes, the contract Nurse Case Management Senior Analyst will evaluate and implement care services while managing a caseload remotely from any state except NY, CA, HI, and AK.

Key responsibilities

• Plans, implements, and evaluates health care services in collaboration with physician treatment plans
• Conducts clinical assessments and manages the coordination of care for assigned cases
• Performs reviews for inpatient acute care and outpatient services to ensure quality and cost-effective care

Required qualifications

• Current unrestricted RN nursing license required
• Experience in case management or related healthcare field
• Ability to work independently while managing a caseload
• Familiarity with utilization management processes
• Strong clinical assessment skills