Medical Case Manager - RN (Delaware) Remote

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Requirements:

• Bachelor’s degree in nursing or RN certification in lieu of bachelor's degree or Master’s degree in Social Work, Counseling, Education, or related field
• 3 years' experience in Acute or Managed Care/ experience with Medicaid or Medicare populations
• Experience working with high-risk pregnant women OR experience working with chronic condition adult populations OR experience with pediatrics

Responsibilities:

• Communicate effectively while performing customer telephonic interviewing and communication with external contacts.
• Educate members to enhance member understanding of illness/disease impact and to positively impact member care plan adherence, pharmacy regimen maintenance, and health outcomes.
• Collaborate with Primary Care Physicians, Medical Specialists, Home Health and other ancillary healthcare providers with the goal being to coordinate member care.