Job Summary
A company is looking for an RN Specialist in Complex Case Management.
Key Responsibilities
- Engages members with high-cost, complex medical conditions through telephonic outreach and clinical assessments
- Collaborates with the interdisciplinary care team to develop and monitor comprehensive plans of care
- Identifies cost-saving opportunities and facilitates referrals to relevant resources
Required Qualifications, Training, and Education
- Current MN RN license with no restrictions
- 5 years of relevant clinical care experience
- CCM Certificate or ability to obtain within 3 years of starting
- Experience in managed care preferred (2+ years)
- Proficiency in computer applications
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