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Company Contact Info
- New York, NY
- Donna Gawroski
- Phone: 860-278-5840
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WORK FROM HOME CASE MANAGER
RJS Associates • New York, NY
Posted 29 days ago
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National Healthcare organization specializing in Orthopedics is looking to hire several RN Case Managers to work from home – REMOTE (Candidate must live in the Tristate are of NY / NJ / CT / MA to be considered.
- Review cases for musculoskeletal / ortho surgery.
- Perform Case Management, Utilization Review and Prior-authorization.
- Collaboration with physicians to ensure patients have adequate recovery time in acute inpatient facilities.
- Collaboration with doctors' offices and surgical facilities when claims are questionable or incomplete.
- Collaboration with the medical director for questionable claims.
MUST have Case Management, Utilization Review and Prior-authorization experience.
Must have experience working in REHAB, Ortho or MSK (musculoskeletal).
Associates degree required, BSN degree preferred.