Case Manager Registered Nurse RN

This role is work at home following an initial one week of training in Chantilly, VA. 25-50% of travel around Northern Virginia is required. Standard business hours Monday-Friday 8am-5pm are required. The Clinical Care Manager utilizes advanced clinical judgment and critical thinking skills to facilitate appropriate physical and behavioral healthcare and social services for members through assessment and member-centered care planning, direct provider coordination/collaboration, and coordination of psychosocial wraparound services to promote effective utilization of available resources, optimal member functioning, and cost-effective outcomes. Nurse Case Manager is responsible for face to face assessing, planning, implementing and coordinating all case management activities with members to evaluate the medical needs of the member to facilitate the member’s overall wellness. Develops a proactive course of action to address issues presented to enhance the short and long-term outcomes as well as opportunities to enhance a member’s overall wellness through integration. Services strategies policies and programs are comprised of network management and clinical coverage policies. Please note that this position will require routine and frequent field-based travel to member locations. Preferred Skills: - Case management and discharge planning experience preferred - Managed Care experience preferred - Crisis intervention skills preferred - Knowledge of community resources and provider networks preferred - Familiarity with local health care delivery systems preferred - Behavioral Health experience preferred - Previous experience conducting face-to-face care management is preferred Apply tot his job