RN Case Manager — Care Coordination & Patient Access

Jobtailor; Colorado; On-site; USD 70,000 - 100,000; Full time

Job summary

Jobtailor is seeking a registered nurse with care management expertise to assess patient needs and develop individualized care plans. The role involves coordinating referrals, monitoring plan effectiveness, and interfacing with medical leadership.

The candidate should have a BA/BS in a health-related field, 3 years of clinical experience, and multistate licensure if servicing multiple states. Strong communication, typing, and Microsoft Office skills are essential.

Qualifications

• Requires a BA/BS in a health‑related field.
• 3 years of clinical experience.
• Current, unrestricted RN license from the State of Georgia required.
• Multistate licensure is required if providing services in multiple states.
• Ability to talk and type at the same time.
• Certification as a Case Manager (preferred).
• Demonstrates critical thinking skills when interacting with members.
• Experience with Microsoft Office and/or ability to learn new computer programs/systems/software quickly.
• Ability to manage, review and respond to emails/instant messages in a timely fashion.

Responsibilities

• Ensures member access to services appropriate to their health needs.
• Conducts assessments to identify individual needs and specific care management plans.
• Implements care plans by facilitating authorizations/referrals within benefits structure.
• Coordinates internal and external resources to meet identified needs.
• Monitors and evaluates effectiveness of care management plans and modifies as necessary.
• Interfaces with Medical Directors and Physician Advisors on care management treatment plans.
• Assists in problem solving with providers, claims or service issues.
• Assists with the development of utilization/care management policies and procedures.

Skills

Critical thinking

Communication

MS Office

Typing

Multistate licensure

RN license GA

Case management cert

Education

BA/BS in health-related field

Tools

Microsoft Office

Job description

Jobtailor is seeking a registered nurse with care management expertise to assess patient needs and develop individualized care plans. The role involves coordinating referrals, monitoring plan effectiveness, and interfacing with medical leadership.

The candidate should have a BA/BS in a health-related field, 3 years of clinical experience, and multistate licensure if servicing multiple states. Strong communication, typing, and Microsoft Office skills are essential.