Nurse Case Manager II
Iconma Portal
6 days ago
Remote
$16 - $39.86 USD hourly
Case Management
Our Client, a Retail Pharmacy company, is looking for a Nurse Case Manager II for their Remote location.
Responsibilities:
Requirements:
Why Should You Apply?
Responsibilities:
- Through the use of clinical tools and information/data review, conducts comprehensive assessments of referred member's needs/eligibility and determines approach to case resolution and/or meeting needs by evaluating member's benefit plan and available internal and external programs/services
- Application and/or interpretation of applicable criteria and guidelines, standardized case management plans, policies, procedures, and regulatory standards while assessing benefits and/or member’s needs to ensure appropriate administration of benefits Utilizes case management and quality management processes in compliance with regulatory and accreditation guidelines and company policies and procedures
Requirements:
- 3 years Clinical practice experience, e.g., hospital setting, alternative care setting such as home health or ambulatory care required.
- Healthcare and/or managed care industry experience.
- Case Management experience preferred-- Position requires proficiency with computer skills which includes navigating multiple systems and keyboarding
- Effective communication skills, both verbal and written.
- Ability to multitask, prioritize and effectively adapt to a fast paced changing environment
- Sedentary work involving periods of sitting, talking, listening. Work requires sitting for extended periods, talking on the telephone and typing on the computer.
- Work requires the ability to perform close inspection of hand written and computer generated documents as well as a PC monitor.
- Typical office working environment with productivity and quality expectations.
- RN with current unrestricted state licensure in West Virginia or a compact state.
- Associate’s of Science in Nursing (ASN) degree and relevant experience in a health care-related field (REQUIRED)
- Bachelor’s of Science in Nursing (BSN) (PREFERRED)
- Case Management Certification CCM preferred
Why Should You Apply?
- Health Benefits
- Referral Program
- Excellent growth and advancement opportunities