The Case Manager works with members and providers to achieve better appointment and care compliance in order to prevent the incurrence of high cost or poor clinical outcomes (potentially resulting in hospital care). The Case Manager works to target the reduction of case complications through identification of high risk triggers. This position also coordinates care by maintaining clear communication channels with the member and their family, providers and plan staff.
- BA/BS - Bachelors Degree or equivlent preferred
- NYS - RN Licesnse required.
- 1 to 3 years related experience required.
- Experience in Managed Care / Health Insurance environment preferred.