It's a great time to put the strength of Coventry behind your career!
Coventry Health Care is a national managed health care company based in Bethesda, Maryland providing a full range of risk and fee-based managed care products and services, including HMO, PPO, POS, Medicare Advantage, Medicaid, Workers' Compensation and Network Rental to a broad cross section of employer and government funded groups, government agencies, and other insurance carriers and administrators.
Coventry's Medicaid Division is committed to guiding our members in achieving better health outcomes, to serving all of our stakeholders with the highest levels of service, and to supporting our state customers in meeting their goals. We are currently seeking an experienced Complex Case Manager to join our team.
The Complex Case Manager functions as the central coordinator of care for members identified as having chronic disease processes or for members in select physician practices. Responsible for implementing and coordinating all case management activities relating to catastrophic cases and chronically ill members across the continuum of care including consultant referrals, home care visits, use of community resources, and alternative levels of care.
Qualifications:The successful incumbent will have a RN license in the state of Missouri. Bachelor's degree or equivalent experience preferred. One year prior Case Management experience and 3+ years clinical experience. Utilization Management experience and knowledge of community resources preferred. Proficiency with computer systems required.
Coventry Health Care is an Affirmative Action/Equal Opportunity Employer, and we are committed to building a talented and diverse team.
Job: Professionals
Primary Location: St. Louis, MO, US
Organization: 26200 - HealthCare USA - Missouri
Schedule: Full-time
Job Posting: 2013-01-08 00:00:00.0
Job ID: 1310061