Nurse Case Manager/ Nurse Disease manager is responsible for assessing moderate to high risk patients for case management/ disease management intervention and coordinating the delivery of cost-effective, quality- based health care services for health plan members by development and implementation of care plans that address individual needs of the member, their benefit plan and community resources. Directs intervention with moderate to high risk members and provides education support and oversight to other team members managing low risk members. Required: - Registered Nurse with at least 3 years experience. - Active Oh or Wv licensure upon hire. Oh or WV multistate licensure must be obtained within the 90 day probationary period. - Demonstrate excellent oral, written and telephonic and interpersonal skills. Possession of a superior work ethic and a commitment to excellence and accountability. Desired: - Utilization management, quality improvement, case management, disease management or other managed care experience is desirable.