✨ About The Role
- The RN Case Manager will be responsible for assessing, planning, implementing, and coordinating case management activities for members.
- This role involves evaluating the medical needs of members to facilitate overall wellness through proactive action plans.
- The position requires the use of clinical tools and data review to assess member needs and available benefits.
- The RN Case Manager will apply clinical judgment to address complex health issues and reduce risk factors.
- Compliance with regulatory and company policies and procedures is essential in this role.
âš¡ Requirements
- The ideal candidate will have an active and unrestricted RN license, with the ability to work in multiple states if necessary.
- A minimum of 5 years of clinical practice experience as a registered nurse is required for this position.
- Candidates should possess strong telephonic communication skills and a customer service-oriented mindset.
- Experience with case management and a Certified Case Manager (CCM) certification is preferred.
- The successful applicant will demonstrate the ability to engage members effectively and assess their health needs through conversation.