North Carolina Licensed Case Manager

To support a leading organization in the managed care and health insurance industry, a remote North Carolina Licensed Case Manager will conduct comprehensive clinical assessments, develop individualized care plans, and coordinate healthcare services to improve clinical outcomes. Key responsibilities: Conduct comprehensive clinical assessments and develop individualized care plans addressing medical, behavioral, and social needs Coordinate services across various healthcare settings and maintain ongoing communication with members and care teams Educate members on treatment options, community resources, and preventative health measures while documenting case activities accurately Required qualifications: Active North Carolina RN license or Compact RN license in good standing Minimum of 3 years of clinical nursing and/or case management experience Prior telephonic case management experience within a health insurance carrier or managed care organization Experience supporting Medicare and/or Medicaid populations, with a preference for behavioral health case management Strong care coordination and assessment skills with the ability to work independently in a remote setting