Manager, Telephonic Case Management RN

Work schedule Monday - Friday 5 days x 8 hours 

Rotating shift times with 2 or 3 days per week starting at 8 am and 11 am.

Required

• Must hold United States citizenship status.
• Ability to obtain Security Clearance required. Current DOD Security Clearance preferred.
• Current, unrestricted RN license in state of residence with multi-state privileges (an active compact state license)
• 2+ years of direct experience managing a clinical team.
• 5+ years of RN experience in a clinical role with responsibilities for direct patient care.
• Bachelor's degree in nursing from an accredited college, university, or school of nursing required.
• Experience as an RN in case management operations.
• Experience managing RN teams in a remote environment.
• Proficient in Microsoft Office product suite (Word, Excel, PowerPoint, Outlook, Teams) and mobile technologies (laptop, smartphone apps, etc.).

Preferred

• Case Management Certification (CCM preferred).
• Experience as a telephonic RN case manager managing health plan members.
• Experience participating in performance improvement or quality improvement projects.
• Experience working in an NCQA-accredited Case Management program.
• Ability to navigate multiple simultaneous work demands remotely in an effective and professional manner.
• Ability to resolve issues independently and demonstrate ability to multi-task.
• Executive presence, effective communication skills (verbal, written, presentation, interpersonal).
• Commitment to building team skills and fostering a positive work environment. 
• Knowledge of payor issues, including Trihealth benefits and contract limitations, provider network issues, and case management initiatives.

What We Offer:

• EXL Health offers an exciting, fast paced, and innovative environment, which brings together a group of sharp and entrepreneurial professionals who are eager to influence business decisions.
• From your very first day, you get an opportunity to work closely with highly experienced, world-class Healthcare consultants.
• You can expect to learn about many aspects of businesses that our clients engage in. You will also learn effective teamwork and time management skills - key aspects for personal and professional growth.
• We provide guidance/ coaching to every employee through our mentoring program wherein every junior level employee is assigned a senior level professional as advisors.
• Sky is the limit for our team members. The unique experiences gathered at EXL Health sets the stage for further growth and development in our company and beyond.

Required

• Must hold United States citizenship status.
• Ability to obtain Security Clearance required. Current DOD Security Clearance preferred.
• Current, unrestricted RN license in state of residence with multi-state privileges (an active compact state license)
• 2+ years of direct experience managing a clinical team.
• 5+ years of RN experience in a clinical role with responsibilities for direct patient care.
• Bachelor's degree in nursing from an accredited college, university, or school of nursing required.
• Experience as an RN in case management operations.
• Experience managing RN teams in a remote environment.
• Proficient in Microsoft Office product suite (Word, Excel, PowerPoint, Outlook, Teams) and mobile technologies (laptop, smartphone apps, etc.).

Preferred

• Case Management Certification (CCM preferred).
• Experience as a telephonic RN case manager managing health plan members.
• Experience participating in performance improvement or quality improvement projects.
• Experience working in an NCQA-accredited Case Management program.
• Ability to navigate multiple simultaneous work demands remotely in an effective and professional manner.
• Ability to resolve issues independently and demonstrate ability to multi-task.
• Executive presence, effective communication skills (verbal, written, presentation, interpersonal).
• Commitment to building team skills and fostering a positive work environment. 
• Knowledge of payor issues, including Trihealth benefits and contract limitations, provider network issues, and case management initiatives.

What We Offer:

• EXL Health offers an exciting, fast paced, and innovative environment, which brings together a group of sharp and entrepreneurial professionals who are eager to influence business decisions.
• From your very first day, you get an opportunity to work closely with highly experienced, world-class Healthcare consultants.
• You can expect to learn about many aspects of businesses that our clients engage in. You will also learn effective teamwork and time management skills - key aspects for personal and professional growth.
• We provide guidance/ coaching to every employee through our mentoring program wherein every junior level employee is assigned a senior level professional as advisors.
• Sky is the limit for our team members. The unique experiences gathered at EXL Health sets the stage for further growth and development in our company and beyond.

The estimated salary range for this role is $90,000 - $110,000