Registered Nurse Case Manager

We are aggressively seeking a RN Case Manager for a Healthcare organization. As the Year 2016 is in full swing, this organization is very busy, and they need YOUR help.

Take advantage of flexible hours,a competitive salary, and be a RN Case Manager  with one of the fastest-growing healthcare companies in the U.S. Get in NOW, while there is still huge room for growth and career development!

This exciting opportunity will require a RN Case Manager who can provide a high level of service and attention to their members. If you are seasoned, and you meet the qualifications listed below, please send your updated resume to Alex Bennewitz for immediate consideration.

Daily Responsibilities

Perform onsite review of emergent/urgent and continued stay requests for appropriate care and setting, following guidelines and policies, and approve services or forward requests to the appropriate Physician or Medical Director with recommendations for other determinations

Complete medical necessity and level of care reviews for requested services using clinical judgment and refer to Medical Directors for review depending on case findings

Collaborate with various staff within provider networks and discharge planning team electronically, telephonically, or onsite to coordinate member care

Conduct discharge planning

Educate providers on utilization and medical management processes

Provide clinical knowledge and act as a clinical resource to non-clinical team staff

Enter and maintain pertinent clinical information in various medical management systems

Requirements

2 years RN experience in acute care with some utilization management, prior authorization, concurrent review, and proficient with Excel

Experience using TruCare system

Strong Excel experience  background in diverse populations/environments (e.g. Critical care, ICU, cardiac, neonatal, pediatric, Case Management

Experience processing 10-15 authorizations a day

Interested in hearing more about this great opportunity? Please click Apply or call Alex Bennewitz  at 513-996-1192