Case Management Nurse

Job Responsibilities

• Serving as a liaison between members, providers and internal/external customers in coordination of health care delivery and benefits programs.
• Overseeing highly complex cases identified through various mechanisms to ensure effective implementation of interventions, and to ensure efficient utilization of benefits.
• Performing the essential activities of case management: assessment, planning, implementation, coordinating, monitoring, outcomes and evaluation.
• Supporting utilization management functions for more complex and non-routine cases as needed.
• Digital positions must have the ability to effectively communicate via digital channels and offer technical support.

Job Qualifications

• Licensed Registered Nurse (RN) with active license in the state of Tennessee or hold a license in the state of their residence if the state is participating in the Nurse Licensure Compact Law.
• Experience: 3 years - Clinical experience required, 5 years - Experience in the health care industry.
• For Select Community & Katie Beckett: 2 years experience in IDD for Select Community is required.

Skills & Certifications

• Excellent oral and written communication skills.
• PC Skills required (Basic Microsoft Office and E-Mail).