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M4468s6fy7k5b81jhb0

Care Manager II (100% Remote)

The Judge Group Phoenix Full-Time
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Judge Healthcare is currently hiring a remote RN Case Manager with pediatric experience for an excellent permanent opportunity working with a large Managed Care Company!
    MUST be located in PST or MST. Hours are Monday-Friday 9am-5:30pm PST

    This position is servicing Tricare beneficiaries and is a great opportunity helping out veterans and current service members.  

    Position Purpose: Provides Case Management services to a specific clientele. Systematically identify and addresses fragmentation of care, and fill gaps in are using proactive initiatives. Assesses medical records for appropriateness, level of care provided and criteria determination. Identifies appropriate care for patients by evaluating high-risk cases, intensity and complexity of services, health care costs and non-compliance issues. Coordinates care between multiple providers. Develops care plans in coordination with providers, patients, families as appropriate and assess the effectiveness. Organizes and schedules training for all new Case Management employees. May conduct periodic quality assurance audits for accuracy and quality associated with training. May monitor and oversee workflow function in case management.

    Manager is specifically looking for nurses with case management experience 

    • Education/Experience: Graduate of Nursing program, BSN Degree preferred. 
    • Five years clinical experience in a health care environment
    • Two years proven case management experience required
    • One year training or teaching experience preferred. 
    • Managed care experience desirable. Internal candidates must have functioned in the capacity of a Case/Care Manager I.

    If this sounds like an exciting opportunity please send an updated resume to Nicole at Email blocked - click to apply or call her directly at 610-617-1519 

     

    Skills required

    Behavioral Health
    Case Management
    Utilization Management
    Social Work
    Psychosocial
    Psychotherapy
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    Job ID: 617231

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    The Judge Group is a privately owned, leading professional services firm with nearly 50 years of experience in providing technology, talent, and learning solutions. Our services are successfully delivered through a network of more than 35 offices in the United States, Canada, and India. The Judge Group serves more than 47 Fortune 100 companies and is responsible for 7,000 professionals on assignment annually across a wide range of industries.

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