Job Summary
A company is looking for a Care Manager (Work from Home).
Key Responsibilities
- Collect relevant clinical data to support the care planning process
- Provide care plan support, intervention, and prioritization to transition members to optimal health
- Facilitate care coordination, self-management planning, and linkage to community resources
Required Qualifications and Education
- Associate degree in nursing, preferred
- Minimum 2 years of experience in medical management clinical functions
- Working knowledge of MCG, InterQual, and NCQA standards
- Active License as a Licensed Vocational Nurse (LVN) or RN is preferred
- Certification in Managed Care Nursing (CMCN) preferred
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