Case Manager

General Knowledge/Skills

• Must: Critical thinking and problem-solving skills.

• Preferred:Clinical knowledge of chronic conditions, management of high-risk patientpopulationsand knowledge of available communityresources.

• Strong knowledge of managed care concepts.

• Strong written and verbal skills with patients, physicians and other stakeholders including techniques infacilitatingpatient engagement in their healthcare.

• Demonstrateabilitytotimelyassess and respond to patient and family needs.

• General knowledge of care(case)management practices, including familiarity with Medicare Advantage products, programs, and services.

• Experience inestablishingprofessional and collaborative relationships with patients,providers,and insurance organizations.

• Basic computer skills, including working knowledge of the Microsoft Office suite.

• Not required, but preferred:Certification as a diabetes educator, nutritionist or social worker or other specialty.

Minimum Required Education, Experience & Skills 

• Current Nursing License within the state in which you workor Compact License,RNpreferred, may consider LPN with Managed Care experience outside of clinical setting.

• Minimum two years clinical practice, one (1) year care(case)management experience or will work towards andmaintaina Care(Case)Management Certification.

• Continuing educationinCare(Case)Management and all other applicable professional licensure. 

• CPR/BLS certification.

ENVIRONMENTAL AND WORKING CONDITIONS 

In this position, the employee will work in an office setting that requires sitting, walking, talking, and listening.Position will require a valid driver’s license and will travel approximately 30% ofthe time. 

Physical & Mental Requirements: (check all that apply) 

Required immunizations and vaccinations.

• Ability toliftto 50pounds. 

• Ability to push or pull heavy objects using up to100pounds of force.

• Ability to stand or sit for extended periods of time.

• Ability to use fine motor skills tooperateequipment and/or machinery.

• Ability to properly drive andoperatea vehicle.

• Ability to receive andcomprehendinstructions verbally and/or in writing.

• Ability to use logical reasoning for simple and complex problem solving.

• Occasionally requires exposure to communicable diseases or bodily fluids.

• Occasional travel for clinic activities may be(ex.InnovaCaremeetings or training).

The information listed above is not comprehensive of all duties/responsibilities performed. This job description is not an employment agreement or contract. Management has the exclusive right to alter this job description at any time without notice.