Description
We're building a world of health around every individual , shaping a more connected, convenient, and compassionate health experience.
Coordinates all case management activities with pediatric members to evaluate medical needs and facilitate overall wellness.
Responsibilities
- Instructs programs and procedures in compliance with network management and clinical coverage policies.
- Develops strategy to address issues to outcomes and opportunities to enhance members' overall wellness through integration.
Requirements
- Current/Active Clinical Licensure (RN)
- Case Management experience
- Strong customer service orientation and problem-solving skills
- Excellent communication/telephonic skills
- Excellent motivational interviewing skills/ability to build rapport and trust
- Highly organized, remain self-driven without direct supervision
- Manage time effectively
- Achieve performance metrics
- Technology proficiency
- Ability to travel within 125 miles round trip for 1 day in the field
- Variable work schedule with ability to work 2 days weekly until 9 pm local time
- Pediatric experience
Preferred Qualifications
- Bachelor's and/or Master's Degree
- CCM Certification
- Previous experience in Managed Care Organization
Benefits
- Medical, dental, and vision coverage
- Paid time off
- Retirement savings options
- Wellness programs
- Other resources, based on eligibility
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