Integrated Nurse Case Manager/RN/Maternity/OBGYN for Central/Richmond, VA!
About the position Responsibilities • Responsible for case management services within the scope of licensure; develops, monitors, evaluates, and revises the member's care plan to meet the member's needs, with the goal of optimizing member health care across the care continuum. • Performs telephonic or face-to-face clinical assessments for the identification, evaluation, coordination and management of member's needs, including physical and behavioral health, social services and long-term services. • Identifies members for high-risk complications and coordinates care in conjunction with the member and health care team. • Manages chronic illnesses, co-morbidities, and/or disabilities ensuring cost effective and efficient utilization of health benefits; conducts gap in care management for quality programs. • Assists with the implementation of member care plans by facilitating authorizations/referrals within benefits structure or extra-contractual arrangements. Benefits • Sign-on bonus offer to qualified applicants. • Professional development and a continued employment philosophy. • Commitment to enhancing training, advancement tracks, work-life benefits, and more. Apply tot his job