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- Bachelor’s degree in Nursing is required.
- Registered Nurse with an unrestricted license in the state of Mississippi is required.
- At least three years of behavioral health care clinical experience is required.
- Case management experience is preferred.
- Case Management certification (CCM) preferred or eligible for certification within two years of employment.
- Knowledge of NCQA Case Management standards is preferred.
- Ability to communicate with Members, their caregivers and Providers.
- Ability to work with a high degree of accuracy and attention to detail is required.
- Must have excellent organizational skills in order to successfully prioritize tasks and to ensure deadlines and benchmarks are consistently met.
- Excellent planning, problem solving, and analytical skills are required.
- Excellent research and oral/written communications skills are required.
- Must possess strong interpersonal skills with the ability to build strong relationships to encourage trust and open communication.
- Must have the ability to handle information of a confidential nature.
- Must have working knowledge of Microsoft Office suite.
- Knowledge CPT, HCPCS, ICD 10 coding is desired.
- Must be able to work a flexible schedule when required.