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RN Case Manager at USAble Mutual Insurance Company - ApplyBlast

RN Case Manager

USAble Mutual Insurance Company

4 months ago

Arkansas

Hybrid

Full Time

Senior

0 applicants

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About this role

This role involves assessing, planning, and coordinating comprehensive care plans to optimize patient outcomes and cost-effective healthcare delivery. The incumbent monitors services to ensure compliance with regulations and URAC standards while acting as a liaison between patients, providers, and ancillary services. Responsibilities include evaluating health needs, providing specialized education, and managing referrals within high-acuity or chronic disease environments.

Responsibilities

Assess and plan comprehensive care plans for individual health needs
Coordinate services to ensure cost-effectiveness and regulatory compliance
Evaluate patient caseloads and refer for appropriate care management
Provide specialized education on disease-specific conditions to patients
Monitor care delivery to maintain quality and safety standards

Skills

Qualifications

Bachelor's degree in NursingRegistered Nurse (RN) LicenseCertified Case Manager (CCM)Accredited Case Manager (ACM)Registered Nurse - Board Certified (RN-BC)