USA
24 days ago
Nurse Case Manager II
Our Client, a Retail Pharmacy company, is looking for a Nurse Case Manager II for their Dallas, TX (Ellis County, TX/ Navarro County, TX/ Kaufman County, TX/ Rockwall County, TX/ Hunt County, TX/ Collin County, TX and/ or Tarrant County, TX) location. Responsibilities: + Nurse Case Manager is responsible for telephonically and/or face to face assessing, planning, implementing and coordinating all case management activities with members to evaluate the medical needs of the member to facilitate the member’s overall wellness. + Develops a proactive course of action to address issues presented to enhance the short and long-term outcomes as well as opportunities to enhance a member’s overall wellness through integration. + Services strategies policies and programs are comprised of network management and clinical coverage policies. + Coordinates and implements assigned care plan activities and monitors care plan progress + Conducts multidisciplinary review in order to achieve optimal outcomes - Identifies and escalates quality of care issues through established channels + Utilizes negotiation skills to secure appropriate options and services necessary to meet the member’s benefits and/or healthcare needs + Utilizes influencing/ motivational interviewing skills to ensure maximum member engagement and promote lifestyle/behavior changes to achieve optimum level of health + Provides coaching, information and support to empower the member to make ongoing independent medical and/or healthy lifestyle choices + Helps member actively and knowledgeably participate with their provider in healthcare decision-making + Utilizes case management and quality management processes in compliance with regulatory and accreditation guidelines and company policies and procedures Requirements: + Verifyable High School Diploma or GED Required + License Registered Nurse + 3+ years clinical practice experience + 1+ year Case Management experience + RN with current unrestricted state licensure. Why Should You Apply? + Health Benefits + Referral Program + Excellent growth and advancement opportunities As an equal opportunity employer, ICONMA provides an employment environment that supports and encourages the abilities of all persons without regard to race, color, religion, gender, sexual orientation, gender identity or express, ethnicity, national origin, age, disability status, political affiliation, genetics, marital status, protected veteran status, or any other characteristic protected by federal, state, or local laws.
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