RN Case Manager- REMOTE

Job Description

Job Description

Here are the job details for your review:

Job Title: Nurse Case Manager II - North Carolina

Duration: 6+ Months Contract (Potential for extension)
Pay Rate:$34.11/ HR on W2

Location: Remote

Shift : Monday - Friday 8 to 5 EST

Description

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 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

Required Experience
Must have experience working in a remote position previously.
Must have case management experience.

2-3 years Clinical practice experience, e.g., hospital setting, alternative care setting such as home health or ambulatory care required.
2 years Healthcare and/or managed care industry experience.
Case Management experience required--
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, and 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 handwritten and computer-generated documents as well as a PC monitor.
Typical office working environment with productivity and quality expectations
North Carolina RN license

Education

RN with current unrestricted state licensure.
Case Management Certification CCM preferred