Healthcare Case Management Professional
3 weeks ago
We are a national leader in healthcare solutions, committed to delivering comprehensive, outcomes-driven care to those who need it most. Our integrated managed care products, pharmaceutical benefit management, and specialty pharmacy services support the unique needs of our members.
Job DescriptionThe Care Manager II (RN/LICSW) plays a critical role in our care coordination program, ensuring that members receive coordinated and effective care. Key responsibilities include:
Key Responsibilities:- Engage members with complex medical needs in achieving their optimal level of health through self-management.
- Conduct comprehensive assessments to identify problems/barriers for care coordination and develop appropriate care management interventions.
- Cordinate physical, behavioral health, and social services to support member goals.
To succeed in this role, you must have:
- Associate's Degree in Nursing or Bachelor's Degree in Social Work (LICSW).
- Minimum 3 years of clinical practice experience as a RN or LICSW working with adults and/or pediatrics with complex medical and behavioral health diagnoses within an acute care, homecare, or community health setting.
- Minimum 1 year of case management experience supporting Medicaid members within a managed care organization.
We offer a competitive salary range of $80,000 - $95,000 per year, depending on experience. Our comprehensive benefits package includes:
- Comprehensive medical, vision, and dental insurance.
- 401(k) plan with company match.
- Flexible work arrangements, including remote options and hybrid schedules.
- Professional development opportunities and tuition reimbursement.
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