RN Case Manager
Core
Coordinates case management activities to evaluate medical needs and facilitate member wellness through program integration and strategy development.
Role type
Senior IC case manager (clinical)
Builds
Member wellness programs and care strategies
Domain
Health insurance / Managed care
Required skills
Clinical licensure (RN/LCSW/LPC/LMFT), case management experience, motivational interviewing, telephonic communication, documentation compliance, time management, technology proficiency
Preferred skills
CCM certification, managed care organization experience, Bachelor's or Master's degree
Responsibilities
Evaluate member medical needs, develop wellness strategies, instruct on network management policies, achieve performance metrics
Seniority
Mid-level, self-driven IC