Job Summary
A company is looking for a Clinical Nurse, Case and Disease Management.
Key Responsibilities
- Conducts member assessments and develops individualized care plans
- Monitors and evaluates the effectiveness of care plans, utilizing various healthcare resources
- Acts as a liaison between members and healthcare providers to ensure coordinated care
Required Qualifications
- Associate degree in nursing
- 3 years of full-time direct patient care clinical experience in transplant, oncology, or medical/surgical
- Valid and active Registered Nurse (RN) license in Missouri and Kansas
- Knowledge of URAC and NCQA guidelines, as well as state and federal regulations
- Case Management Certification within 3 years of hire or transfer to the role
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