Description
We are seeking a Care Manager, Telephonic Nurse 2 to work remotely in Oklahoma. As a Care Manager, you will assess and evaluate enrollees' needs and requirements to achieve or maintain optimal wellness. You will guide enrollees and their families towards and facilitate interaction with appropriate resources for their care and wellbeing.
Responsibilities:
- Employ a variety of strategies, approaches, and techniques to manage an Enrollee's behavioral, physical, environmental, and psycho-social health needs.
- Ensure Enrollees are progressing toward desired outcomes by continuously monitoring their assessments and evaluations.
- Identify and resolve barriers that hinder effective care and ensure that the Enrollee is progressing toward desired outcomes.
- Create Enrollee care plans and understand department, segment, and organizational strategy and operating objectives.
- Perform telephonic and face-to-face assessments and evaluations of the member's needs and requirements.
- Collaborate with providers and community services to promote quality and cost-effective outcomes.
- Follow established guidelines and procedures.
Requirements:
- Active Registered Nurse (RN) license, Licensed Professional Counselor (LPC), or Licensed Clinical Social Worker (LCSW)
- Minimum 1-year clinical experience
- 2 or more years of care management experience
- Experience working with Medicaid and/or Medicare Enrollees
- Knowledge of community health and social service agencies
- Comprehensive knowledge of Microsoft Office applications
Preferred Qualifications:
- Case Management Certification
- Bilingual Spanish Speaking
Benefits:
- Competitive medical, dental, and vision benefits
- 401(k) retirement savings plan
- Time off, including paid time off, company and personal holidays, and paid parental and caregiver leave
- Short-term and long-term disability
- Life insurance
Salary: $71,100 - $97,800 per year
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