Case Manager II - RN
Innovative health plan truly values their nurses. This health plan has received numerous awards for their programs of care ! They offer generous benefits and PLENTY of opportunity to grow in your career
RN will coordinate continuum of care for select members with complex medical and/or behavioral health conditions to ensure they receive the highest quality most effective care while maintaining cost effectiveness. Activity will include advanced review of admissions through both on-site and telephonic review.
Evaluate, monitor and adjust plan of care as necessary to promote desired outcome.
Coordinate services between PCP, specialist, and other medical and non-medical providers as necessary to meet the need of the individual member.
Participate in face to face visits with high risk members at point of service as needed. Provide patient and provider education.
We are interviewing candidates with a minimum of. 2+ years of clinical nursing and case management experience.
Min 1-2 years of related experience in managed care environment.
Must have current state’s RN license, LCSW or LMSW.
CCM is a plus. but not required.