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Nurse Case Manager

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Nurse Case Manager

  • Location:

    Woonsocket

  • Sector:

    MRS Nursing

  • Job type:

    Temporary & Contract

  • Salary:

    Negotiable

  • Contact:

    Marie Nellas

  • Contact email:

    mnellas@medicalrecruitmentstrategies.com

  • Job ref:

    BBBH407175_1666885024

  • Published:

    about 1 month ago

  • Expiry date:

    2023-01-25

  • Client:

    Medical Recruitment Strategies

Medical Recruitment Strategies is looking for the best Nurse Case Manager will be responsible for utilizing 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 MI license.

Position: Nurse Case Manager

Employment: 2 months contract

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

Qualifications:

  • 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

Apply now and be part of one of the biggest companies in the country! If you are interested, you can also send your through this job posting. Thank you!