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Posted 2 days ago
Requirements and responsibilities
Job Title: Nurse Case Manager/Utilization Review Nurse
Duration: 3 plus month with possible extension
Location: Fully remote
Pay Range: $35-$37.00/hr.
Candidates must work EST hours. 8am-5pm EST.
The Case Manager utilizes a collaborative process of assessment, planning, facilitation and advocacy for options and services to meet an individual's benefit plan and/or health needs through communication and available resources to promote optimal, cost-effective outcomes.
Requires an RN with unrestricted active license.
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.
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.
Optionally, you can add more information later (benefits, pre-screening questions, etc.)