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Case Manager RN - Field Jefferson SKY
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$54,095.6 - $116,800 a year
Full-time
- The Complex Nurse Case Manager is responsible for assessing members through regular and consistent in person or telephonic contact to assess, plan, implement and coordinate all case management activities with members to evaluate the medical and psychosocial needs of the member to facilitate and support the member’s improved health.
- Services strategies policies and programs are comprised of network management and clinical coverage policies.
- Through the use of clinical assessment tools and evaluating information/data review, conducts a comprehensive and holistic evaluation of member's needs and benefit plan eligibility and facilitates integrative functions as well as smooth transition to Aetna programs and plans.
- Experience or detailed knowledge of the Foster Care and juvenile justice systems, Adoption Assistance, the delivery of Behavioral Health Services, Trauma-informed Care, ACEs, Crisis Intervention services, and evidence-based practices applicable to the Kentucky SKY populations, is required.
- Flexibility to work beyond core business hours of Monday-Friday, 8am-5pm, is required (We are serving the needs of children and families that may require working after school, after work, etc.)
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