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Case Manager Nurse – Registered Nurse, Licensed Practical Nurse
Job Description:
- Evaluating and coordinating care for members to improve their overall health and wellness.
- Assessing medical needs and eligibility.
- Developing care plans to address short- and long-term health goals.
- Using clinical tools and data to guide decisions.
- Coordinating services across programs and providers.
- Addressing complex health and social issues.
- Reviewing claims and functional capacity.
- Referring members to appropriate clinical resources.
- Collaborating with supervisors and multidisciplinary teams.
- Ensuring compliance with policies and regulations.
- Engaging members through effective communication.
Requirements:
- Candidates must reside in or near Campbell County, VA
- Must possess reliable transportation and be willing and able to travel up to 50-75% of the time.
- Mileage is reimbursed per our company expense reimbursement policy
- LPN/RN with current unrestricted Virginia state licensure required.
- 3 years Clinical Experience (Preferably in Medical-Surgical Nursing, Behavioral Health, Long term Care, etc.)
- 1+ years Managed Care experience.
- Position requires proficiency with computer skills which includes navigating multiple systems and keyboarding.
- Case Management in an integrated model preferred (Waiver and IDDP-Combination of different services)
- Bilingual in English/Spanish
Benefits:
- Affordable medical plan options
- 401(k) plan (including matching company contributions)
- Employee stock purchase plan
- No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.
- Paid time off
- Flexible work schedules
- Family leave
- Dependent care resources
- Colleague assistance programs
- Tuition assistance
- Retiree medical access and many other benefits depending on eligibility.