Offer summary
Qualifications:
RN licensed in Massachusetts, 5-7 years of experience, 3 in pediatric case management, Ability to travel statewide, Experience with Office applications and databases, Knowledge of state regulations (preferred).Key responsabilities:
- Manage clinical care for Members
- Assess, plan, and evaluate care needs
- Determine medical necessity and authorize services
- Maintain records and liaise with providers
- Participate in performance improvement initiatives