For use by Arizona, Superior, and Sunflower only.


Job Profile Summary
Position Purpose:

Develops, assesses and coordinates holistic care management activities, with primary focus and support towards the most complex or high risk/high acuity populations with primarily medical/physical health needs, to enable quality, cost-effective healthcare outcomes. Performs assessments, develops personalized care plans/service plans, and educates members, their families and caregivers on services and benefits available to meet member needs.

Education/Experience:
Requires Graduate from an Accredited School of Nursing or a Bachelor's degree and – years of related experience

License/Certification:
RN - Registered Nurse - State Licensure and/or Compact State Licensure required or
NP - Nurse Practitioner - Current State's Licensure required
For Superior: Resource Utilization Group (RUG) certification must be obtained within d...