Nurse Case Manager II

The Nurse Case Manager II role involves performing care management for members with complex and chronic care needs by assessing, developing, and coordinating care plans to optimize health outcomes across the care continuum. This position operates virtually full-time with occasional in-person training, focusing on facilitating authorizations, coordinating resources, and evaluating care plan effectiveness. The role requires collaboration with medical directors and providers to ensure appropriate member access to services and resolve utilization or claims issues.