Conduct comprehensive assessments of referred members' needs and determine case resolution approaches
Apply and interpret applicable criteria and guidelines while assessing benefits and member needs
Utilize case management and quality management processes in compliance with regulatory standards and company policies
Required Qualifications
RN with current unrestricted MO state licensure
2-3 years of clinical practice experience in a healthcare setting
Experience in the healthcare and/or managed care industry
Proficiency with computer skills, including navigating multiple systems
High School Diploma or equivalent; Bachelor's Degree preferred
Average salary estimate
$70000
/ YEARLY (est.)
min
max
$60000K
$80000K
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