Description

You will deliver comprehensive case management services across the continuum of care, including telephonic case management, utilization review, and care plan development. You'll collaborate with healthcare providers and payors to ensure quality outcomes and cost-effective treatment.

Requirements

• RN licensure in State of Iowa required
• BSN or higher preferred
• Minimum 2 years clinical practice
• Case management or utilization review experience strongly preferred
• Bilingual Spanish strongly preferred

Responsibilities

• Provide telephonic case management and utilization review
• Develop, implement, and monitor individualized care plans
• Collaborate with healthcare providers, payors, and internal teams
• Serve as liaison between consumers and benefit administrators
• Track and report case outcomes including cost savings