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Care Manager Utilization - Registered Nurse / RN – Work from Home Role job in Atlanta at RCM Healthcare Services

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Care Manager Utilization - Registered Nurse / RN – Work from Home Role at RCM Healthcare Services

Care Manager Utilization - Registered Nurse / RN – Work from Home Role

RCM Healthcare Services Work from Home/Remote Full-Time
$96,500/Year
Apply Now

Care Manager Utilization- Registered Nurse (RN) – Downtown, Manhattan – Work from Home Role

NY RN License and Covid Vaccination Required

For more than 30 years, this health plan has been committed to building strong relationships with its members and providers to enable New Yorkers to live their healthiest life. They provides the highest quality healthcare services to residents of Bronx, Brooklyn, Manhattan, Queens and Staten Island through a comprehensive list of products.

Care Manager Utilization- Registered Nurse (RN) – Downtown, Manhattan Office

Monday through Friday, Business Hours

Salary up to $96,500 with excellent UNION benefits (including Pension Plan)

Work from Home

Position Overview

The Care Manager under the direction of the Director of the Department of Utilization Management, is primarily responsible for managing both simple and complex medical cases to achieve high-quality patient care outcomes and minimize unnecessary medical expenses, through the coordination of services, both outpatient and inpatient. The Care Manager will assist the provider in directing care to the most appropriate setting, evaluating alternative care plans, and assessing outcomes through outreach to the members.

Minimum Qualifications

• Bachelor’s Degree (BSN) preferred.

• A minimum of three to five years clinical experience in an acute care setting.

• Excellent communication, written and analytical skills.

• Knowledge of computer systems.

• UM/UR experience in managed care or hospital setting required.

• Skill Nursing or SNF experience a plus.

Licensure and/or Certification Required

•           Registered Nurse, Current New York State license.

 

Salary up to $96,500 with excellent UNION benefits (including Pension Plan)

Recommended Skills

  • Acute Care
  • Registered Nurse
  • Rn
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