RN Case Manager / Utilization Review Nurse
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At a glance
Requirements
Credentials this posting asks for.
Job overview
HealthcareSupport Staffing is hiring a RN Case Manager / Utilization Review Nurse. The RN Case Manager / Utilization Review Nurse will be responsible for identifying, screening, assessing, planning, implementing, coordinating, monitoring, and evaluating healthcare services for high-risk populations. This role involves assessing identified patients through utilization review, discussions with physicians, and patient evaluation. The Case Manager will also identify member needs, barriers to care, and available resources to maintain patients in the least restrictive, most cost/quality efficient environment.
Key focus areas include Identify, screen, assess, plan, implement, coordinate, monitor and evaluate health care services, Complete assessment of identified patients through review of past utilization, and Discuss with primary care physician and specialists.
Successful candidates bring RN License, 1+ Years Acute Care Experience, and Managed Care Experience in Medical Management. Important skills include Identification, Screening, Assessment, Planning, Implementation, and Coordination.
Skills & qualifications
Skills
Qualifications
Benefits
Full job description
Are you an experienced RN Case Manager / Utilization Review Nurse looking for a new opportunity with a prestigious healthcare company? Do you want the chance to advance your career by joining a rapidly growing company? If you answered “yes" to any of these questions – this is the position for you!
Daily Responsibilities:
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The Case Manager will be responsible for identification, screening, assessment, planning, implementation, coordination, monitoring and evaluation health care services provided to the high risk population
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Completes assessment of identified patients through review of past utilization, discussions with the primary care physician and specialists and evaluation of the patient
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Identifies member needs as well as barriers to care and available resources, maintaining the patient in the least restrictive, most cost/quality efficient environment possible
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RN Case Managers gather member data Qualifications/ Requirements:
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Must have an RN license
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1 year minimum experience ( Acute Care Experience / Managed Care experience in Medical Management)
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Computer skills- EZ-CAP, Microsoft Office, strong skills with Excel Hours for this Position:
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Monday- Friday normal business hours (8a-5p) Advantages of this Opportunity:
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Competitive salary, negotiable based on relevant experience
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Benefits offered, Medical, Dental, and Vision
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Fun and positive work environment Interested in being considered?
If you are interested in applying to this position, please contact (Shara Bonifacio, 321-710-4798) today and email your resume for the position may be filled quickly.
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