Virginia Licensed Case Manager RN

A company is looking for an Integrated Case Manager/Registered Nurse (RN) for the Commercial Complex Cases - Remote in Virginia or North Carolina.

Key Responsibilities Develops, monitors, evaluates, and revises member care plans to optimize health care across the continuum Performs telephonic clinical assessments and coordinates care for members with complex needs Manages chronic illnesses and coordinates care with healthcare teams, ensuring compliance with policies and procedures

Required Qualifications , Training, and Education Registered Nurse (RN) License (Compact or Virginia) is required Bachelor's Level Degree preferred 3 years of Case Management RN experience required Experience in Complex Case Integrated Commercial Managed Care preferred Proficient with NCQA guidelines