Contact info: (866) 371-0687,

Care Manager | Case Manager -3

Twitter Facebook
Milwaukee, WI
Job Type
Direct Hire
May 14, 2019
Job ID

Case Manager II - RN - 2 office | 1 field based

 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.

Innovative health plan truly values their nurses. 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. PCP, specialist, and other medical and non-medical providers as necessary to meet the need of the individual member.  Provide patient and provider education.

We are interviewing candidates with RN licensure,  Bachelor’s degree in Nursing, 2+ years of nursing experience in a clinical, acute care, or community setting and 1+ years of case management experience in a managed care setting. Knowledge of utilization management principles and healthcare managed care. Preference is for experience with medical decision support tools (i.e. Interqual, NCCN) and government sponsored managed care programs.  BUT exceptional RN's with case management experience in home health, hospital, etc will also be considered.  Must have basic knowledge of Excel and overall good computer skills.