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Case Manager, RN - Remote

Posted 2024-10-21

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💎 Seniority level: Junior, Minimum two (2) years of experience

📍 Location: California, United States

💸 Salary: 65745 - 98617 USD per year

🔍 Industry: Healthcare

🏢 Company: NeueHealth

🗣️ Languages: English, Spanish

⏳ Experience: Minimum two (2) years of experience

🪄 Skills: Communication SkillsAnalytical SkillsCollaborationProblem Solving

Requirements:
  • RN License for California required.
  • Bilingual English and Spanish is a plus.
  • Minimum two (2) years of experience in medical management clinical functions.
  • Working knowledge of MCG, InterQual, and NCQA standards.
  • Active and Unrestricted License as a Registered Nurse (RN) required.
  • Certification in Case Management (CCM) or Managed Care Nursing (CMCN) preferred.
Responsibilities:
  • Assessment of medical, social, and behavioral needs of assigned population.
  • Care Plan development and prioritization to transition members to health and self-management.
  • Coordinate interdisciplinary team meetings.
  • Collaboration across providers for quality outcomes.
  • Facilitate care coordination and self-management planning.
  • Link members to community resources to address social determinants of health.
  • Adjudicate referrals and coordinate care across settings.
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