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Registered Nurse Case Manager (Telephonic)

A-Line Staffing Solutions Sacramento Full-Time
$70,000.00 - $78,000.00 / year
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Registered Nurse Case Manager (Telephonic) -Sacramento, CA


Looking for a Registered Nurse with strong computer skills and previous case management experience to work as a telephonic case manager in Sacramento, CA with a large insurance company.


Excellent growth opportunities into leadership or training roles.

RN Care Manger Job Duties:

  •  Perform care management duties to assess, plan and coordinate all aspects of medical and supporting services across the continuum of care for select members to promote quality, cost effective care.
  • Assess the member's current health status, resource utilization, past and present treatment plan and services, prognosis, short- and long-term goals, treatment and provider options
  • Utilize assessment skills and discretionary judgment to develop plan of care based upon assessment with specific objectives, goals and interventions designed to meet member's needs and promote desired outcomes
  • Coordinate services between Primary Care Physician (PCP), specialists, medical providers, and non-medical staff as necessary to meet the complete medical socio-economic needs of clients
  • Provide patient and provider education
  • Facilitate member access to community-based services
  • Monitor referrals made to community-based organizations, medical care and other services to support the members’ overall care management plan
  • Actively participate in integrated team care management rounds
    Identify related risk management quality concerns and report these scenarios to the appropriate resources.
  • Case load will reflect heavier weighting of complex cases than Care Manager I, commensurate with experience
  • Enter and maintain assessments, authorizations, and pertinent clinical information into various medical management systems
  • Direct care to participating network providers
  • Perform duties independently, demonstrating advanced understanding of complex care management principles.
  • Participate in case management committees and work on special projects related to case management as needed

RN Care Manger Job Duties:

  • ·        Registered Nurse with 2 years of Case Management Experience
  • ·      Strong computer skills

RN Care Manager Hours: Mondy – Friday, 8:00 am-5:00 pm, no nights or weekends.


 


Please Contact:


Katherine Skelton


586-710-0022


Case Manager, Case Management, Registered Nurse, Care Manager, HEDIS, Prior Authorization, Health Plan, MLTC, Managed Long Term Care, Assessment, Care Plan, Telephonic, Tele-Health, telehealth

Skills required

Electronic Medical Record
Problem Solving
Leadership
Nursing
Disease Management
Patient Care Coordination

Location

About the company

Salary Details

Based on Job Title, Location and Skills
$74K
Below Avg. Average Above Avg.

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Registered Nurse Case Manager (Telephonic)
$70,000.00 - $78,000.00 / year
Estimated Salary: $85K
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A-Line Staffing began in 2004 with just two of us – a father and son with 30 combined years of experience started the company out of a basement in Warren, Michigan. We started our company with just one placement, and continue to build the company and our relationships – one placement at a time.

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