Nurse Care Manager – Katie Beckett

This is a fully remote position, open to applicants in Tennessee.

📋 Description

• Oversee a caseload of several intricate pediatric member requirements.

• Conduct visits to members, including home visits, in accordance with contract timelines.

• Execute initial member visits and ongoing evaluations.

• Create and uphold Person Centered Support Plans.

• Collaborate with private insurers and Medicaid to coordinate care and ensure suitable coverage.

• Assist with utilization management functions for complex and non-routine cases.

• Act as a liaison between members, providers, and both internal and external stakeholders.

• Manage highly complex cases and implement strategies for effective benefits utilization.

• Carry out case management tasks including assessment, planning, implementation, coordination, monitoring, outcomes, and evaluation.

• Deliver effective communication through digital platforms and provide technical support.

• Evaluate child development and milestones, offering resources for identified deficiencies.

• Determine goals and challenges through a person- and family-centered planning approach.

• Identify necessary home and community-based services.

• Coordinate additional Medicaid medical and behavioral health benefits.

⛳️ Requirements

• Experience in pediatrics.

• Excellent communication and organizational abilities.

• Strong attention to detail.

• Flexibility and adaptability in various situations.

• Willingness to travel for in-person meetings with members.

• Active Registered Nurse (RN) license in Tennessee, or a license from the state of residence if participating in the Nurse Licensure Compact.

• Minimum of 3 years of clinical experience required.

• At least 5 years of experience in the healthcare industry.

• For Select Community & Katie Beckett: 2 years of experience in IDD is required.

• Outstanding oral and written communication skills.

• Proficient in basic Microsoft Office applications and email.

• Pediatric experience, ideally from an acute care environment.

• Clinical expertise in caring for medically fragile children with complex medical and/or behavioral health needs.

• Capability to assess child development and milestones.

• Valid driver's license, compliant auto insurance, and acceptable driving record if frequently operating a vehicle for company purposes.

• Ability to complete a digital literacy assessment.

• 18-month commitment before applying for other internal positions.

🏝️ Benefits

• Employee position.

• Various immunizations and/or associated medical tests may be required for this position.