Registered Nurse Obstetrics Case Manager
About the positionResponsibilities• Ensures member access to services appropriate to their health needs. • Conducts assessments to identify individual needs and develops a specific care management plan. • Implements care plans by facilitating authorizations/referrals as appropriate. • Coordinates internal and external resources to meet identified needs. • Monitors and evaluates the effectiveness of the care management plan and modifies as necessary. • Interfaces with Medical Directors and Physician Advisors on care management treatment plans.• Negotiates rates of reimbursement, as applicable. • Assists in problem-solving with providers, claims, or service issues. Requirements• Current, active unrestricted RN license in the state of Indiana. • BA/BS in a health-related field and minimum of 3 years of clinical experience, or equivalent education and experience. Nice-to-haves• OB nursing experience is strongly preferred. • Case management experience. • Previous managed care experience preferred. • Discharge planning experience. • Substance Use Experience is preferred.Benefits• 401(k)• 401(k) matching• Dental insurance• Health insurance• Life insurance• Paid time off• Vision insurance Apply tot his job