Missouri and Kansas Licensed Clinical Nurse

Job Summary

A company is looking for a Clinical Nurse, Case and Disease Management.

Key Responsibilities

• Conducts member assessments and develops individualized care plans based on health needs
• Monitors and evaluates the effectiveness of care plans and coordinates with healthcare teams
• Acts as a liaison for members and provides education on transplant benefits and claims

Required Qualifications

• Associate degree in nursing
• 3 years of full-time direct patient care clinical experience in transplant, oncology, or medical/surgical
• Valid and active Registered Nurse (RN) license in Missouri and Kansas
• Knowledge of URAC and NCQA guidelines and state and federal regulations
• Case Management Certification within 3 years of hire or transfer to the role