✨ About The Role
- The Case Manager RN will be responsible for assessing, planning, implementing, and coordinating case management activities for members.
- This role involves telephonic and face-to-face interactions to evaluate the medical needs of members.
- The Case Manager RN will utilize clinical tools and data to conduct evaluations of member needs and benefit plan eligibility.
- The position requires applying clinical judgment to address complex health and social indicators impacting care planning.
- The role includes consulting with supervisors and presenting cases at conferences for a multidisciplinary approach to claim management.
âš¡ Requirements
- The ideal candidate will have an active and unrestricted RN multi-state licensure in Texas.
- A minimum of 3 years of clinical practice experience as a registered nurse is required.
- Candidates should possess at least 1 year of experience using multiple computer systems and applications, including Microsoft Word, Excel, and Outlook.
- Strong communication and interpersonal skills are essential for engaging with members and assessing their health needs.
- The successful candidate will be proactive in developing courses of action to enhance member wellness and outcomes.