Qualifications
Required
- Registered Nurse with an active, current, unrestricted license in RI in good standing (Consideration will be given to individuals without current RI license. Must provide documentation confirming RI RN application within 24 hours of offer) OR
- Masters degree with active, current, unrestricted LICSW or LCSW license in RI in good standing
- Minimum of three (3) years care management or community health nursing experience
- Demonstrated experience in Medicare/Medicaid (MMP), Medicaid, Medicare or commercial products
- PC based software programs intermediate level of proficiency
- Strong organizational and interpersonal skills
- Customer service orientation
- Ability to work independently and prioritize activities
- Must have access to reliable transportation. If using personal vehicle, must have active drivers license and auto insurance
Preferred:
- Managed Care experience
- Two to Four (2-4) years experience in acute care
- BSN or Certification as a CM
- Clinical specialty experience
- Bilingual
Core Company-Wide Competencies:
- Communicate Effectively
- Respect Others & Value Diversity
- Analyze Issues & Solve Problems
- Drive for Customer Success
- Manage Performance, Productivity & Results
- Develop Flexibility & Achieve Change
Job Specific Competencies:
- Collaborate & Foster Teamwork
- Create & Innovate
- Plan & Organize
- Exercise Sound Judgement & Decision Making
Travel Expectations:
- Travel 25-50% of the day. Must have access to reliable transportation.
Neighborhood Health Plan of Rhode Island is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or veteran status.