This position is responsible for performing all functions of Utilization Management (UM), Case Management (CM) and Disease Management (DM) and is a single source of contact for members, health care personnel and all other entities involved in managing care. Requirements Registered Nurse (RN) with current, valid, unrestricted license in state of operations 2 years clinical practice experience of direct clinical care to the customer 1 year experience in Condition Management or Case Management in a health insurance, managed care, physician office or hospital setting PC proficiency to include Word, Excel, Lotus Notes and database experience Clear and concise verbal and written communication skills Knowledge of UM/CM/DM activities and standardized criteria set Familiarity of ancillary services including HHC, SNF, Hospice, etc Verbal and written communication skills; analytical skills; sound clinical judgment Benefits Health and wellness benefits 401(k) savings plan Pension plan Paid time off Paid parental leave Disability insurance Supplemental life insurance Employee assistance program Paid holidays Tuition reimbursement Other incentives Originally posted on Himalayas