Client seeking Case Manager, RN to work intensely as a telephonic case manager with patients and their care team for fully and/or self-insured clients. Duties include interpretation of applicable criteria and clinical guidelines, standardized care management plans, policy procedures and regulatory standards while assessing benefits and/or member’s needs to ensure appropriate administration of benefits.

Education:
- Diploma or Associate’s Degree in Nursing required
- BSN preferred

Required Qualifications:
 5+ years’ experience as a Registered Nurse with at least 1 year of experience in a hospital setting
 A Registered Nurse that holds an active, unrestricted license in their state of residence, and willingness to receive a multi-state/compact privileges and can be licensed in all non-compact states
 1+ years’ experience documenting electronically using a keyboard
 1+ years’ current or previous experience in Oncology, Transplant, Specialty Pharmacy, Pediatrics, Medical/Surgical, Behavioral Health/Substance Abuse or Maternity/ Obstetrics experience

Skills:
- Bilingual in Spanish (preferred)
- Med-Surg, Pediatrics, Ob/Gyn

Job type: Full-Time

Standard Shift: Days

Benefits:
- 401(k)
- Health insurance
- Paid holidays
- Paid time off

Work Location: Remote