Manages member car
Other Jobs You May Be Interested In
- Call Center Officer – Work from home
- Customer Support Representative – Hybrid
- Senior Data Scientist – Remote U.S.
- (Online Virtual Remote Job) DHL Call Center Customer Service – Work from home
- Revenue Manager, RMAS (Remote)
- Virtual Sales Tour Booking Specialist
- Sun Country Airlines Entry Level Remote Jobs $25/Hour
- Sun Country Airlines Data Entry Remote Jobs $28/Hour
- Payments Implementation – Project Analyst – Associate I
- Virtual Banking Assistant lll – Plano, TX
- Chase Travel Team Lead – Remote – Orlando, FL – (Travel Experience Required)
- Virtual Banking Assistant lll – Plano, TX
- Social Media Chat Assistant
- Assistant, Marketplace Business Development-Remote
- Cyber Content Development Trainer
- Data developer
- Senior Big Data Software Engineering
- Principal Software Engineering
- Telemedicine Account Manager
- Full Stack Developer Advisor
- Senior Supply Chain Project Manager
- Yahoo Part Time Customer Support Jobs @Remote $26/Hour
- Yahoo Entry Level Jobs, Virtual Assistant Jobs $25/Hour
- Reddit Community Manager
- Practice Lead, Labor, Public Sector
- Facebook / Google Paid Media Buyer
- (USA) Associate Merchant – Household Cleaning
- Revenue Strategy & Ops Product Marketing Manager, Operations-Walmart GoLocal
- Tesla Jobs Remote $26/Hour – mysmartpros
- Amazon Brand/Account Manager
- Principal Technical Program Manager, Amazon Grocery
- Delta Airlines Remote Virtual Assistant Jobs (Part-Time)
- (Entry Level Remote Jobs) Delta Airlines Careers From Home
- Delta Airlines Data Entry Job From Home $25/Hour
- Entry Level Netflix Data Entry Remote Jobs
Job Description:
Job Responsibilities
- Supporting utilization management functions for more complex and non-routine cases as needed.
- Serving as a liaison between members, providers and internal/external customers in coordination of health care delivery and benefits programs.
- Overseeing highly complex cases identified through various mechanisms to ensure effective implementation of interventions, and to ensure efficient utilization of benefits
- Performing the essential activities of case management: assessment: planning, implementation, coordinating, monitoring, outcomes and evaluation.
- Digital positions must have the ability to effectively communicate via digital channels and offer technical support; typing and grammar skills assessment is required for these positions, in addition to standard Windows Testing.
- Effective 7/22/13: This Position requires an 18 month commitment before posting for other internal positions.
Job Qualifications
License
- Registered Nurse (RN) with active license in the state of Tennessee or hold a license in the state of their residence if the state is participating in the Nurse Licensure Compact Law.
Experience
- 3 years – Clinical experience required
- 5 years – Experience in the health care industry
- Various immunizations &/or associated medical tests may be required for this position.
- For Select Community & Katie Beckett: 2 years experience in IDD for Select Community is required
Skills\Certifications
- Currently has a Certified Case Manager (CCM) credential or must obtain certification within 2 years of hire.
- For Select Community & Katie Beckett: In addition to CCM, Certification in Developmental Disabilities Nursing (CDDN) is required at hire, or must be attained within 3 years.
- Excellent oral and written communication skills
- PC Skills required (Basic Microsoft Office and E-Mail)
