Nurse Case Manager

Job Description

Job Summary:

• Under the administrative direction of the Clinical Manager, the Nurse Case Manager (NCM) for Senior Care Options (SCO) is responsible to manage all aspects of member care for a panel of frail elderly, while working within a healthcare team.
• The NCM directly interfaces with physicians, other members of the primary care team, members, and their caregivers in identifying risk factors, conducting assessments, and developing and implementing care plans to comprehensively manage their members’ care.
• Travel expenses will be reimbursed.

Education:

• Bachelors of Science in Nursing (BSN) and Registered Nurse with current, unrestricted state license is required.

Experience:

• Minimum 3 years clinical nursing experience required.
• Experience in case management managing geriatric/chronic illness populations required.
• Experience within a SCO program highly preferred.
• Experience in Medicare and/or Medicaid managed care preferred.
• Proficient in computer use, the Internet, and health information technology required.
• Case management certification a plus.

Skill requirements:

• Work cooperatively as a team member across multiple levels within the organization.
• Demonstrate initiative in achieving individual, team, and organizational goals and objectives.
• Must be able to prioritize work and develop strategies for adapting to constantly changing priorities and urgencies.