About this role

Responsible for assessing claimant eligibility and coordinating benefit assessments, the full-time Minnesota Licensed Care Manager will gather and review medical records, communicate claim determinations, and assist with care plan modifications in a dynamic healthcare environment. Key responsibilities Assess claimant eligibility by reviewing medical records and conducting phone assessments Determine legitimacy and eligibility of service providers through credential reviews and assessments Monitor claims processing and attend case conferences to present recommendations Required qualifications Current Minnesota LSW or RN license Experience in healthcare or insurance-related fields Ability to interpret medical records and provider documentation Proficiency in managing multiple tasks and meeting deadlines Strong verbal and written communication skills

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