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RN Case Manager

ICONMA, LLC

Nova, 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, Establish Priorities, Health Plan, Home Care, Hospital, Maintain Compliance, Managed Care, Multitasking, Pharmacy, Presentation/Verbal Skills, Quality Management, Registered Nurse (RN), Regulations, Regulatory Compliance, Retail, Writing Skills
LOCATION
Nova, VA
POSTED
3 days ago
Our Client, a Retail Pharmacy, is looking for a RN Case Manager for their Nova, VA location. They are also open to candidates located in any of these locations: Sterling, Reston, Chantilly, Oakton or Herndon.
 
Responsibilities:
  • 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:
  • 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
  • Work requires the ability to perform close inspection of handwritten and computer-generated documents as well as a PC monitor.
  • Requires an RN with unrestricted active license
  • Case Management Certification CCM preferred
 
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About the Company

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ICONMA, LLC