Case Manager Registered Nurse- Field - Must live in Louisiana
About The Position
Coordinates all case management activities with members to evaluate medical needs and to facilitate the overall wellness of members. Develops strategy to address issues to outcomes and opportunities to enhance member's overall wellness through integration. Instructs programs and procedures in compliance with network management and clinical coverage policies. Must live in the following parishes in Louisiana: Region 1 (Orleans): New Orleans and surrounding parishes - Jefferson, Plaquemines, St. Bernard. Region 2 (Baton Rouge): East/West Baton Rouge and surrounding parishes - Ascension, Iberville. Region 3 (Covington/Houma-Thibodaux): Southeast coastal parishes - Lafourche, Terrebonne, St. Charles, St. James, St. John. Region 4 (Thibodaux/Lafayette): Acadiana area - Lafayette, St. Landry, Acadia, St. Martin, Iberia, Vermilion, Evangeline, St. Mary. Region 5 (Lafayette/Lake Charles): Southwest parishes - Calcasieu, Beauregard, Allen, Cameron, Jefferson Davis. Region 9 (Monroe/Northshore): Florida Parishes - Livingston, St. Helena, St.Tammany, Tangipahoa, Washington. Region 10 Jefferson.
Requirements
- Current/Active Clinical Licensure (RN, SW, LCSW, LPC, LMFT)
- Case Management experience
- Strong customer service orientation and problem solving
- Excellent Communication/Telephonic skills
- Excellent motivational interviewing skills/ability to built rapport and trust telephonically
- Excellence in documentation and respecting compliance/regulatory standards
- 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 scheduled with ability to work 2 days weekly until 9pm local time
Nice To Haves
- Bachelors and/or Master's Degree
- CCM Certification
- Previous experience in Managed Care Organization
Responsibilities
- Coordinates all case management activities with members to evaluate medical needs and to facilitate the overall wellness of members.
- Develops strategy to address issues to outcomes and opportunities to enhance member's overall wellness through integration.
- Instructs programs and procedures in compliance with network management and clinical coverage policies.
Benefits
- medical
- dental
- vision coverage
- paid time off
- retirement savings options
- wellness programs
- other resources, based on eligibility
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
Associate degree
