Case Management RN

New
Arizona; Florida; Georgia; or Texas.Full-TimeMiddle
Salary32.6 - 42.79 USD per hour
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Job Details

Experience
2+ years of clinical experience; 1+ years of experience in Care Coordination and Navigation

Requirements

  • Active, unrestricted RN licensure from the United States
  • Active compact multistate unrestricted RN license
  • Ability to obtain additional state licenses to meet needs
  • 2+ years of clinical experience to include hospital, outpatient or community-based care management
  • 1+ years of experience in Care Coordination and Navigation
  • BSN (preferred)
  • Working knowledge of Milliman Guidelines (preferred)
  • CCM Certification (preferred)
  • Behavioral Health experience (preferred)

Responsibilities

  • Coordinate care across a variety of settings (inpatient, outpatient, post acute, ER, home care)
  • Reach out to members undergoing difficult health challenges and develop care plans
  • Reach out to hospital case managers to assist with discharge planning
  • Communicate with members by phone or secure messaging to provide education on health conditions, new medications, and procedures
  • Ensure compliance with all applicable laws and regulations
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32.6 - 42.79 USD per hour
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