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Care Manager RN

Careerbuilder-US

This is a Full-time position in Atlanta, GA posted March 18, 2021.

Now hiring for a Top Healthcare / Managed Care company whom are in need of an experienced RN Case Manager to become a part of the team. Please apply directly for consideration. Arely Ortiz / aortiz@alinestaffing.com / Text: (847) 888-9523

Pay Rate: $29 per hour (possible pay increase after 90 days)

Hours: Full time – Monday – Friday 40 hour 8:00 a.m. – 5:30 p.m.

Job Description:.

  • Pre-Admission Counseling Contacts patients with upcoming hospital admissions and discusses expectations.
  • Assesses patient’s condition to understand illness or injury and evaluate ability to follow treatment plan.
  • Advises patients of probable length of stay and helps anticipate and arrange for services at discharge.
  • Admission Care Works with physicians and hospitals to enforce treatment plans and orders. Ensures patient receives specialty care and tests as ordered.
  • Contacts medical team members to discuss patient’s course of progress and needs
  • Arranges for and coordinates health care team services, avoiding duplication and conserving benefit dollars.
  • Evaluates need for and authorizes equipment, supplies, and services.
  • Identifies problems and acts to anticipate and avoid complications.
  • Instructs patient and family in proper care and refers patient back to physician or other health care team members as needed.
  • Identifies plateaus, improvements, regressions and depressions, and counsels accordingly.
  • Coordinator of Care Conducts hospital visits

Why Apply: Company Benefits!

  • Full benefits available after 90 days: Medical, Dental, Vision, Life, Short-term Disability
  • GREAT Hours! 
  • 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

Job Requirements:

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
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