Nurse Manager Jobs

About The Position

Requirements

• Bachelor’s degree in a health-related field and at least 3 years of clinical experience, or an equivalent combination of education and experience.
• Current, unrestricted RN license in applicable state(s).
• Multi-state licensure is required when providing services in multiple states.

Nice To Haves

• Certification as a Case Manager.
• Bachelor’s degree in a health- or human-services-related field.
• Compact RN license.

Responsibilities

• Ensure members have access to services appropriate to their health needs.
• Conduct assessments to identify individual needs and develop care management plans addressing objectives and goals identified during assessment.
• Implement care plans by facilitating authorizations and referrals within the benefits structure or through extra-contractual arrangements, as appropriate.
• Coordinate internal and external resources to meet identified needs.
• Monitor and evaluate care plan effectiveness and modify plans as necessary.
• Interface with Medical Directors and Physician Advisors on developing care management treatment plans.
• Assist with problem-solving involving providers, claims, or service issues.
• Perform care management duties telephonically, including hospital discharge planning.

Benefits

• Comprehensive benefits package, subject to eligibility requirements.
• Incentive and recognition programs.
• Equity stock purchase and 401(k) contribution.
• Merit increases.
• Paid holidays and paid time off.
• Incentive bonus programs, unless covered by a collective bargaining agreement.
• Medical, dental, and vision benefits.
• Short- and long-term disability benefits.
• 401(k) with match.
• Stock purchase plan.
• Life insurance.
• Wellness programs.
• Financial education resources.