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Care Manager I (RN)

A Line Staffing Solutions

This is a Contract position in Trenton, NJ posted November 23, 2021.

Now hiring for a Top Healthcare / Managed Care company working remotely or from home whom are in need of an experienced RN Case Manager to become a part of the team, for an remote/work from home position to start but will return to in office once safe to return.

Please apply directly for consideration.

Damian Sroka / / Text: (847) 220-5241 Position will be remote or work from home
– must live near the Las Vegas, NV area Pay/Hours: Pay Rate: $38.00 to $40.00 per hour (possible pay increase after 90 days) Hours: Full time – Monday
– Friday 40 hour 8: 00 a.m.

– 5: 30 p.m.

Job Description:.

Develop, assess and adjust, as necessary, the care plan and promote desired outcome Assess the member’ s current health status, resource utilization, past and present treatment plan and services, prognosis, short and long term goals, treatment and provider options Coordinate services between Primary Care Physician (PCP), specialists, medical providers, and non-medical staff as necessary to meet the complete medical socio economic needs of clients Develop plan of care based upon assessment with specific objectives, goals and interventions designed to meet member’ s needs Provide patient and provider education Facilitate member access to community based services Monitor referrals made to community based organizations, medical care and other services to support the members’ overall care management plan Actively participate in integrated team care management rounds Identify related risk management quality concerns and report these scenarios to the appropriate resources Enter and maintain assessments, authorizations, and pertinent clinical information into various medical management systems Requirements: Education/Experience: Bachelor’ s degree in RN Case management, care management, managed care experience Knowledge of utilization management principles and healthcare managed care.

Experience with medical decision support tools (i.e.

Interqual, NCCN) and government sponsored managed care programs.

Licenses/Certifications: Current states RN license Why Apply: Company Benefits Full benefits available after 90 days: Medical, Dental, Vision, Life, Short-term Disability 401k after 1 year of employment: With employer match and profit sharing GREAT Hours Full-Time Monday through Friday, 40 hours per week – Overtime available paying time and a half over 40 hours worked.

Competitive Pay Rate With possible pay increases after 90 days of employment.

Work Life Balance Growth Potential Please contact Damian Sroka by applying directly for consideration or emailing resume to / Text: (847) 220-5241 Managed Care, Health Plan, Health Insurance, Case Manager, Care Manager, Utilization Review, Utilization Management, STARS, HEDIS, Complex Case Management, CCM, Certified Case Manager, NCQA, URAC, CMS, Medicare, Medicaid, HMO, RN, BSN, MSN, Registered Nurse, Quality Assurance, Quality Improvement