Job Description

Job Responsibilities:

• Healthcare and/or managed care industry experience. ;
• Case Management experience preferred ;
• Position requires proficiency with computer skills which includes navigating multiple systems and keyboarding ;
• Using clinical tools and information/data review, conducts comprehensive assessments of referred member's needs/eligibility and determines approach to case resolution and/or meeting needs by evaluating member's benefit plan and available internal and external programs/services ;

Skills:

• The Case Manager utilizes a collaborative process of assessment, planning, facilitation and advocacy for options and services to meet an individual’s benefit plan and/or health needs through communication and available resources to promote optimal, cost-effective outcomes. ;

Education/Experience:

• RN with current unrestricted state licensure. ;
• Preferred case management experience ;

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