Case Manager Registered Nurse – Louisiana Field
Core
Coordinates case management activities to evaluate medical needs and facilitate member wellness through integration of programs and procedures.
Role type
Case Manager Registered Nurse
Builds
Member wellness strategies and care coordination plans
Domain
Healthcare / Managed Care
Required skills
Clinical licensure (RN), Case management experience, Customer service, Problem solving, Telephonic communication, Motivational interviewing, Documentation, Compliance/regulatory knowledge, Time management, Technology proficiency
Preferred skills
Bachelors or Master's Degree, CCM Certification, Managed Care Organization experience
Responsibilities
Evaluate medical needs of members, Develop strategies to address health issues and enhance wellness, Instruct programs in compliance with network management and clinical coverage policies, Achieve performance metrics, Travel within 125 miles for field visits, Work variable schedule including evenings
Seniority
Individual Contributor