Job Description:
• Evaluating and coordinating care for members to improve their overall health and wellness.
• Assessing medical needs and eligibility.
• Developing care plans to address short- and long-term health goals.
• Using clinical tools and data to guide decisions.
• Coordinating services across programs and providers.
• Addressing complex health and social issues.
• Reviewing claims and functional capacity.
• Referring members to appropriate clinical resources.
• Collaborating with supervisors and multidisciplinary teams.
• Ensuring compliance with policies and regulations.
• Engaging members through effective communication.
Requirements:
• Candidates must reside in or near Campbell County, VA
• Must possess reliable transportation and be willing and able to travel up to 50-75% of the time.
• Mileage is reimbursed per our company expense reimbursement policy
• LPN/RN with current unrestricted Virginia state licensure required.
• 3 years Clinical Experience (Preferably in Medical-Surgical Nursing, Behavioral Health, Long term Care, etc.)
• 1+ years Managed Care experience.
• Position requires proficiency with computer skills which includes navigating multiple systems and keyboarding.
• Case Management in an integrated model preferred (Waiver and IDDP-Combination of different services)
• Bilingual in English/Spanish
Benefits:
• Affordable medical plan options
• 401(k) plan (including matching company contributions)
• Employee stock purchase plan
• No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.
• Paid time off
• Flexible work schedules
• Family leave
• Dependent care resources
• Colleague assistance programs
• Tuition assistance
• Retiree medical access and many other benefits depending on eligibility.
Apply Now
Apply Now