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Nurse Case Management Senior Analyst

Integrated Resources, Inc

AL(remote)

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JOB DETAILS
JOB TYPE
Contractor
SKILLS
Acute Care, Analysis Skills, Case Management, Certified Case Manager (CCM), Clinical Assessment, Clinical Competency, Health Education, Healthcare, Nursing Credentials, Options Analysis, Outpatient Care, Problem Solving Skills, Registered Nurse (RN), Treatment Evaluation, Treatment Plan, Utilization Management
LOCATION
AL
POSTED
14 days ago
The team needs staff ready to work Sat or Sun as part of their regular schedule... they can work 5 - 8 hour shifts or 4 - 10 hour shifts, but one of these days should be regularly scheduled Sat or Sun This is a remote position within our plan states, IL, TX, NM, OK, MT, TN Nurse Case Management Senior Analyst Delivers specific delegated tasks assigned by a supervisor in the Nurse Case Management job family. Plans, implements, and evaluates appropriate health care services in conjunction with the physician treatment plan. Utilizes clinical skills to assess, plan, implement, coordinate, monitor and evaluate options and services in order to facilitate appropriate healthcare outcomes for members. Ensures that case management program objectives are met by evaluating the effectiveness of alternative care services and that cost effective, quality care is maintained. Provides clinical assessments, health education, and utilization management to members. Performs prospective, concurrent, and retrospective reviews for inpatient acute care, rehabilitation, referrals, and select outpatient services. Manages own caseload and coordinates all assigned cases. Completes day-to-day Nurse Case Management tasks without immediate supervision, but has ready access to advice from more experienced team members. Tasks involve a degree of forward planning and anticipation of needs/issues. Resolves non-routine issues escalated from more junior team members. RN and current unrestricted nursing license required.

About the Company

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Integrated Resources, Inc