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Case Manager RN - Field - Maricopa County
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Full-time
- This role is work from home with up to 50% travel required in Maricopa County, Arizona to visit members face to face in their homes.
- Applies critical thinking and knowledge in clinically appropriate treatment, evidence-based care and medical necessity criteria for members by providing care coordination, support and education for members through the use of care management tools and resources.
- Evaluation of Members; Through the use of care management tools and information/data review, conducts comprehensive evaluation of referred member's needs/eligibility and recommends an approach to case resolution and/or meeting needs by evaluating member's benefit plan and available internal and external programs/services.
- Monitoring, Evaluation, and Documentation of Care; Utilizes case management processes in compliance with regulatory and accreditation guidelines and company policies and procedures.
- 2+ years' Experience working with people who have been designated as having a serious mental illness (SMI) and working with people who are elderly or have a physical disability is very strongly preferred.
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