| RN Case Manager requirement::Remote (USC,GC,GCEAD) at Remote, Remote, USA |
| Email: [email protected] |
|
http://bit.ly/4ey8w48 https://jobs.nvoids.com/job_details.jsp?id=233020&uid= From: Geetanjali, Absolute IT [email protected] Reply to: [email protected] Job Title Location Job Description RN Case Manager N/A Remote USC,GC,GCEAD Roles and Responsibilities Assessment of the medical, social, and behavioral needs of an assigned population 2. Care Plan development and prioritization to transition members to optimal levels of health and self-management. 3. Capacity to coordinate interdisciplinary team meetings as required 4. Collaboration across providers and healthcare settings to ensure optimal quality outcomes for an assigned population 5. Provide transition of care interventions as required 6. Facilitate care coordination, self-management planning, discharge planning, and health education for an assigned population. 7. Facilitate linkage to appropriate community resources to address social determinants of health 8. Capacity to adjudicate referrals and apply evidence-based clinical criteria to coordinate member care needs across all care setting 9. Able to ensure member communication and notices are composed in a manner consistent with regulatory standards. 10. Adheres to the Policies and Procedures set forth by the Quality Management Committee and performs all additional duties as assigned. Qualifications: Associate's degree in Nursing, Bachelor's degree preferred Minimum two (2) years of experience in medical management clinical functions. Working knowledge of MCG and NCQA standards UM (utilization Management) and CM (Case Management) experience Active and Unrestricted License as a Registered Nurse (RN) Certification in Case Management (CCM) or Managed Care Nursing (CMCN) preferred Preferred Skills High level of critical thinking and problem-solving skills Strong work ethic and overall positive attitude Effective communication skills including verbal and written Kind Regards, Geetanjali Banvi | Absolute IT | Technical Resource Specialist 116 Village Blvd Suite 200 Princeton New Jersey 08540 [email protected] www.absoluting.com Keywords: information technology http://bit.ly/4ey8w48 https://jobs.nvoids.com/job_details.jsp?id=233020&uid= |
| [email protected] View All |
| 06:17 PM 23-Dec-22 |