✨ About The Role
- Responsible for telephonically and/or face to face assessing, planning, implementing, and coordinating all case management activities with members
- Develops proactive course of action to address issues presented and enhance short and long-term outcomes for members
- Utilizes clinical tools and information/data review to evaluate member's needs and benefit plan eligibility
- Applies strategies to reduce risk factors and barriers, addressing complex health and social indicators
- Ensures compliance with regulatory and company policies and procedures in case management processes
âš¡ Requirements
- Ideal candidate will have an active and unrestricted RN licensure in their state of residence
- Must possess 2+ years of clinical experience as an RN in various settings such as Emergency Department, Home Health, ICU, etc.
- Ability to work Monday through Friday with occasional evening, weekend, and holiday shifts
- Strong clinical judgment and ability to address complex health and social indicators impacting care planning
- Willingness to obtain multiple state RN licensures after hire