Primary Nurse Case Admin I - IL, NM, TX

This position is responsible for performing all functions of Utilization Management (UM), Case Management (CM) and Disease Management (DM) and is a single source of contact for members, health care personnel and all other entities involved in managing care. RequirementsRegistered Nurse (RN) with current, valid, unrestricted license in state of operations2 years clinical practice experience of direct clinical care to the customer1 year experience in Condition Management or Case Management in a health insurance, managed care, physician office or hospital settingPC proficiency to include Word, Excel, Lotus Notes and database experienceClear and concise verbal and written communication skillsKnowledge of UM/CM/DM activities and standardized criteria setFamiliarity of ancillary services including HHC, SNF, Hospice, etcVerbal and written communication skills; analytical skills; sound clinical judgmentBenefitsHealth and wellness benefits401(k) savings planPension planPaid time offPaid parental leaveDisability insuranceSupplemental life insuranceEmployee assistance programPaid holidaysTuition reimbursementOther incentivesOriginally posted on Himalayas Apply To this Job