What are the responsibilities and job description for the Case Manager position at W3R Consulting?
Company Description
- This is a managed care & case management role. No direct patient care is needed.
- Hybrid role – 80% travel to home of members, 20% work from home
Role Description
This position is responsible for conducting medical management and health education programs for customers on government health care programs. Accountabilities include gathering, analyzing and providing date for regulatory reports. This position will represent the company to members.
Qualifications
- Registered Nurse (RN), with 3 years direct clinical care to the consumer in a clinical setting or Licensed Professional Counselor (LPC), or Licensed Master Social Worker (LMSW), which includes 2 years of clinical practice to obtain their LPC or LMSW license.
- Current, valid, unrestricted license in the state of operations (or reciprocity). For compact licensee changing permanent residence to state of operations, you must obtain active, unrestricted RN licensure in the state of operations within 90 days of hire.
- Plus 3 years wellness or managed care experience presenting clinical issues with members/physicians.