Job Summary:We are looking for an Infertility/Maternity Nurse Care Manager for our Care and Case Management team who also holds a CCM and a CA license. You must have case and disease management in a health plan, health navigator or third-party administrator (TPA) environment. You must be passionate about holistic, patient-centered care to support members through their healthcare journey and ensure needs are met with industry-leading interventions.
As a telephonic Nurse Care Manager you will specialize in guiding members through both routine and complex infertility and maternity clinical scenarios. You will report to the Manager, Care and Case Management and partner with a diverse clinical team, including providers, care coordinators, and other supporting team members, to deliver integrated remote care and case management. You should enjoy spending time on the phone, listening to members' needs, answering questions, and serving as a member advocate. You will excel at creating personalized care plans and have the clinical skills to guide members ...