Nurse Care Manager
Ridgeland, MS
State Health Solutions /
Full-Time /
On-site
As a Registered Nurse Care Manager, you will focus on the care management of patients with acute and chronic medical conditions the assessment of the care needs of vulnerable populations for various clients.
Essential Functions
- You will perform assessment and evaluation of potential care management patients per the client's contractual obligations and/or state requirements.
- You will collaborate with health care providers and ancillary service providers to assure coordination of care to ensure effectiveness of treatment plans and identify educational opportunities.
- You will provide ongoing education, resource information, and support to patients that reinforce their treatment plan and enables them to improve their health management skills.
- You will evaluate treatment adherence, member safety, and socioeconomic factors, and re-evaluate the patient’s commitment to making the necessary changes on a regular basis.
- You will document per contractual requirements related to individual member status, and/or medical necessity review, and negotiation.
Requirements
- Four-year degree in health care or related field and/or equivalent training and/or experience.
- Current unrestricted RN license required.
- Minimum 1-year experience in human services and/or 3 years of clinical practice experience.
- Case management and/or Mental Health experience preferred.
- Certified Case Manager (CCM) strongly preferred or ability to obtain CCM once becoming a Telligen employee-owner.
- We are unable to consider candidates outside of the United States, candidates in the state of California, or those in US Minor outlying islands and territories.
Who We Are:
Telligen is one of the most respected population health management organizations in the country. We work with state and federal government programs, as well as employers and health plans offering clinical, analytical, and technical expertise.
Health has changed a lot through our 50-year history, but what has remained constant is that we care deeply about who we serve and what we do. Our success is built on our ability to adapt, respond to client needs, and offer innovative solutions.
Our business is our people and we’re looking for talented individuals who not only believe in our mission but who are ready to take ownership and make a difference in the lives of people, in the world of health. Learn more about who we are and what we do at www.telligen.com/about-us
Are you Ready?
We’re on a mission to transform lives and economies by improving health and getting there means following through on our values of Ownership, Community, Ingenuity & Integrity.
Ownership: As a 100% employee-owned company, our employee-owners drive our business, our solutions, and share in our success. When employee-owners grow and thrive, we all win.
Community: Putting others first and being a good corporate partner wherever we work, and play makes us who we are. We Show Up. For our clients, for our communities, and for each other.
Ingenuity: We’re a team of passionate professionals driven by hard work and big ideas. We understand that high-value breakthroughs come from taking calculated risks. If it will benefit our clients and advance our mission, we’re all ears. We celebrate free-thinking and challenge the status quo, so brainstorm away!
Integrity: Smiling faces (virtual or in-person) are the norm around here. We enjoy a friendly work environment where everyone is dedicated to mutual trust, respect, and excellence.
Thank you for your interest in Telligen!
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While we use artificial intelligence tools to enhance our initial screening process, all applications are thoroughly reviewed by our human recruitment team to ensure a fair and comprehensive evaluation of each candidate.
As part of our commitment to health and safety, some roles may require additional health protocols (i.e. personal protective equipment or vaccination).
Telligen and our affiliates are Affirmative Action, Equal Opportunity Employers, and E-Verify Participants.
Telligen will not provide sponsorship for this position. If you will require sponsorship for work authorization now or in the future, we cannot consider your application at this time.
Telligen does not accept 3rd party solicitations from outside staffing firms.
