COMPLEX Case Management Coordinator - Registered Nurse
Blue Cross Blue Shield of Illinois 45 reviews - Richardson, TX

This job posting is no longer available on Blue Cross Blue Shield of Illinois. Find similar jobs:Complex Case Management Coordinator jobs

This position is responsible for performing concurrent review in accordance with accepted department criteria; performing discharge planning and identifying alternate treatment programs that provide medically necessary potentially cost effective services; consulting with physicians, providers, members, and other resources, as appropriate, to assess, plan, facilitate implementation, coordinate, monitor, and evaluate options and services required to meet an individuals health needs, using communication and available resources to promote quality, cost effective outcomes; serving as liaison to physicians, and members; serving as preceptor for less experienced staff.

1) Registered Nurse (RN) with unrestricted license in state
2) 3 years clinical practice experience
3) 1 year experience in health insurance/managed care
4) PC and database experience
5) Verbal and written communication skills.

1) Experience in Disease Management
2) Experience in managing complex or catastrophic cases
3) Working toward CM certification or Advanced degree
4) Knowledge of medical management policies and procedures.

About this company
45 reviews
We are committed to maintaining a work environment that is safe and secure and where we treat each other with honesty, dignity, and respect....