General Summary of Position
This position reports to the office 4 days a week with a schedule of 8:30A - 5:00P
Coordinates, negotiates, procures and manages care of our members/enrollees to facilitate cost effective care and members/enrollees satisfaction. Facilitates the continuum of care, works collaboratively with interdisciplinary staff, internal and external to the organization. Responsible for carrying a complex case management case load, ownership of a case management program(s), pre- authorization reviews to provide Medically Necessary, timely and quality health care services in the most cost-effective manner and pharmacy reviews per population served. We recruit, retain, and advance associates with diverse backgrounds, skills, and talents equitably at all levels.
This position has a hiring range of $CUSTOM.SALARY.MIN - $CUSTOM.SALARY.MAX
Keywords:
RN case manager, healthcare coordination, case management, patient care, cost-effective healthcare, registered nurse, clinical collaboration, health services, member satisfaction, pharmacy review
