Care Manager, Complex & Disease Management

Education, Training, Licenses, Certifications

• Bachelor’s degree.
• RN required, with current active RN license.
• CCM certification preferred.
• Certification in utilization or care management preferred.

Relevant Work Experience, Knowledge, Skills, and Abilities

• 4 – 6 years of clinical experience. (R)
• Organization/prioritization ability; and the ability to effectively manage a caseload of highly complex members. (R)
• Support an integrated care model tapping into appropriate resources both internally and external to the organization. (R)
• Experience in case management/care coordination, managed care, and/or utilization management. (P).
• Strong communication skills (verbal, written, presentation, interpersonal). (R)
• Trained in the use of Motivational Interviewing techniques. (P)
• Experience working in medical facility or practice and/or with electronic medical records. (P)
• Computer proficiency: MS Office (Word, Excel, Powerpoint, Outlook); mobile technology (wireless phone/laptop, etc.) (R)
• System user experience in a highly automated environment. (R).
• Bilingual ability (verbal, written). (P)
• Strong cross-group collaboration, teamwork, problem solving, and decision-making skills. (R)
• Ability to work a flexible schedule (evenings, weekends and holidays) to meet member and/or caregiver and departmental
scheduling needs. (R)