Care Manager, Telephonic Nurse

Become a part of our caring community As a remote Telephonic Care Manager you will report to a Manager of Care Management. You will be providing a comprehensive, holistic approach for the complex medical Case Management (CM) program throughout the continuum of care. You will provide case management specialized interventions by leveraging the most appropriate care sites and levels of care to prevent or decrease hospital readmissions, promoting appropriate utilization of alternative sources of available funding, enhancing coordination of care, and reducing fragmentation of clinical services. You will serve as the point of contact for the beneficiary for all activities within the clinical spectrum. You will coordinate within the Care Management programs, Military Treatment Facility (MTF) Utilization Management/Case Management/CM staff, and providers to ensure there is a fully integrated care plan addressing all beneficiary needs and conditions. Use your skills to make an impact Required Qualifications Our Department of Defense Contract requires U.S. citizenship for this position. Successfully receive interim approval for government security clearance (NBIS - National Background Investigation Services) HGB is not authorized to do work in Puerto Rico per our government contract. We are not able to hire candidates that are currently living in Puerto Rico. Active RN license in state of employment Ability to obtain CCM certification within 1 year of hire 2 years case management exper