Case Manager

Job Description

Position: Case Manager

Duration: 5 Months + Extension

Job Summary:

• RN Diploma, RN Associate’s degree or Bachelors of Science in Nursing (BSN) degree.
• Minimum of 3 years full time direct clinical experience in an acute medical or acute surgical setting.
• Proficiency with a Microsoft Windows operating system.
• Valid license to practice nursing within the US and have started application for NC nursing license.
• May be required to work weekends and holidays on a rotational basis.
• Commercial Care Management:
  Certified Case Manager (CCM) certification is required within 2 years of employment.
• FEP and Senior Segment:
  Certified Case Manager (CCM) certification is required within 3 years of employment.
• Medical management/clinical decision‑making skills and sound skills in assessing, planning and managing member care; advanced assessment and teaching skills.
• Familiarity with legal terminology and liability issues and ability to handle ethical or risk management issues; utilization and quality management/outcomes experience preferred.
• Previous work experience with a managed care organization or provider is also preferred.
• Prior experience in case management, home health, discharge planning, or concurrent review.
• Excellent communication and interpersonal skills at all levels.
• Self‑motivated, self‑directed, and able to work independently with effective time management.
• Ability to deal with change and remain focused in the unstructured nature of case management.
• Creative, critical thinking, counseling, interviewing, negotiating, and research skills; CCM certification preferred.
• Prior experience in various health care settings and managing patients with multiple co‑morbidities is preferred.
• Training class is targeted for 10/31; all candidates must start the same day.
• Hours:
  
  8am‑5pm and 10am‑7pm with a one‑hour lunch.

Registered Nurse or LPN

All your information will be kept confidential according to EEO guidelines.