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Nurse Case Manager II

ICONMA, LLC

Richmond City, VA

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JOB DETAILS
SALARY
$44.14 Per Hour
SKILLS
Ambulatory Care, Case Management, Certified Case Manager (CCM), Clinical Information, Communication Skills, Compensation and Benefits, Computer Skills, Corporate Policies, Cost Control, Establish Priorities, Health Plan, High School Diploma, Home Care, Hospital, Maintain Compliance, Managed Care, Multitasking, Pharmacy, Presentation/Verbal Skills, Quality Management, Registered Nurse (RN), Regulations, Regulatory Compliance, Retail, Team Player, Typing, Writing Skills
LOCATION
Richmond City, VA
POSTED
9 days ago
Our client, a Retail Pharmacy company, is looking for a Nurse Case Manager II for their Richmond City, VA/Sandston, VA/Highland Springs, VA/Varina, VA/New Kent, VA/Hanover, VA location.
 
Responsibilities:
  • 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.
  • 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
 
Requirements:
  • Verifiable High School Diploma or GED Required
  • Requires an RN with unrestricted active license
  • 3 years Clinical practice experience, e.g., hospital setting, alternative care setting such as home health or ambulatory care required.
  • Healthcare and/or managed care industry experience.
  • Case Management experience preferred-- 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, 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 hand written and computer generated documents as well as a PC monitor.
  • Typical office working environment with productivity and quality expectations
  • RN with current unrestricted state licensure.
  • Case Management Certification CCM preferred
 
Why Should You Apply?

About the Company

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ICONMA, LLC