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RJS Associates • New York, NY

Posted 29 days ago

Job Snapshot

Travel - None
Experience - At least 2 year(s)
Degree - 2 Year Degree
$0.00 - $85,000.00 /Year
Healthcare - Health Services
Health Care


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Job Description

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.

Job Requirements

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.

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