The care manager coordinates the care and services delivered to selected member populations: promotes effective utilization of resources, and assumes a leadership role within the interdisciplinary team to achieve optimal clinical and resource outcomes. The care manager is responsible for assessing, coordinating, monitoring and evaluating services and outcomes to maximize the health of members.
Registered Nurse with current license in the state of practice. BS in Nursing or other health related area preferred.
Licensed Medical or Clinical Social Worker (LMSW or LCSW) with current license in the state of practice.
Minimum three (3) years of experience in care/case management, disease management and/ or population management, utilization review, quality assurance, discharge planning, or other cost management program, preferably in managed care.
At least three (3) years clinical experience, with strong medical/surgical background preferred.