Case Manager

Globalhealth Holdings LLC Oklahoma City , OK 73101

Posted 5 months ago

Job Description

This position performs and manages all aspects of case management, conducting telephonic case management for complex, high utilization members to include identification and assessment of needs, planning and coordination of care, and monitoring outcomes in accordance with GlobalHealth and the departments policies and procedures. Responsibilities include: determining the appropriateness of services, medical necessity, and location required to encourage effective, high quality care and cost efficient outcomes. This position requires being proactive when it comes to identifying high priority members and coordinating care to improve the long-term well-being of our members. Excellent communication skills and the ability to develop a rapport with members, in order to best assess their needs, is required. Identifying barriers to care and conducting follow ups with members to ensure the highest quality of care are also primary duties of the position.

Qualifications:

  • Active Licensed Practical Nurse in the state of Oklahoma required
  • Previous experience in case management, managed care, and/or utilization management preferred
  • A working knowledge of current nursing processes, techniques and established standards, including disease management
  • Current, working knowledge of medications and community resources.

Benefits:
GlobalHealth provides a competitive benefits package to support our employee's needs. This package includes:

  • Health, Dental and Vision Insurance
  • Paid Time Off and Paid Holidays
  • Flexible Spending Accounts (Medical and Dependent Care)
  • Company-paid Life Insurance
  • 401k Plan and Match
  • Employee Referral Bonus Program

Equal Opportunity Employer, M/F/Disability/Vet

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Case Manager

Globalhealth Holdings LLC