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Care Manager I (RN) – West Palm Beach

A Line Staffing Solutions

This is a Contract position in Philadelphia, PA posted September 14, 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.

Jake Z / jzambutoalinestaffing.com Position will be remote or work from home
– Most Live in West Palm Beach area Must Have 2 years of Pediatric Nursing experience Pay/Hours: Pay Rate: $32.00 to $38.00 per hour (possible pay increase after 90 days) Bonus: $2, 500 bonus offered Hours: Full time – Monday
– Friday 40 hour 8: 00 a.m.

– 5: 30 p.m.

Job Description:.

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 Utilize assessment skills and discretionary judgment to develop plan of care based upon assessment with specific objectives, goals and interventions designed to meet member’ s needs and promote desired outcomes 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 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.

Case load will reflect heavier weighting of complex cases than Care Manager I, commensurate with experience Enter and maintain assessments, authorizations, and pertinent clinical information into various medical management systems Direct care to participating network providers Perform duties independently, demonstrating advanced understanding of complex care management principles.

Participate in case management committees and work on special projects related to case management as neede Requirements: Education/Experience: Graduate from an Accredited School of Nursing.

Bachelors degree in Nursing preferred.

2 years of clinical nursing experience in a clinical, acute care, or community setting and 1 years of case management or utilization experience in a managed care setting.

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 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