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Registered Nurse RN - Case Manager - Medical Management
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Full-time
- Avera is looking for a Registered Nurse (RN) - Case Manager to join our Team!
- The RN Case Manager is a specialized nurse that identifies members who would benefit from complex/chronic condition case management and/or service coordination.
- The RN Case Manager develops and facilitates the member's plan of care.
- In collaboration with physicians, population health staff, employers, community organizations, hospital-based case managers/utilization review staff, clinic-based care coordinators/preauthorization staff, and Insurance Division staff, the RN Case Manager encourages the best possible outcome in the most cost effective manner in accordance with standards set forth by National Committee for Quality Assurance (NCQA).
- The RN Case Manager will need to be knowledgeable in various aspects of all health plan lines of business, inclusive of commercial, marketplace, and self-funded clients.
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