[Work From Home] Urgently Need Remote (reputed company Virginia Only)

Position at a Glance:

• Start Date: Immediate openings available
• Location: Remote
• Position: Urgently Need Remotenurse Case Manager-hire Bonus
• Company: Qualified Candidates In Woodbridge, VA
• Compensation: a competitive salary

 

 

Job title: Remote (reputed company Virginia Only) Nurse Case Manager-Hire Bonus for Qualified Candidates Company: reputed company Job description : Optima reputed company Virginia is hiring a Nurse Case Manager This position is Remote for candidates that live in reputed company Virginia: Winchester, Fairfax, Culpper, Manassas, Arlington, Luray, reputed company Royal, Leesburg and surrounding areas! Sign on Bonus for Qualified Applicants The Nurse Case Manager is responsible for case management services reputed company the scope of licensure; develops, monitors, evaluates, and revises the member's care plan to meet the member's needs, with the goal of optimizing member health care across the care continuum. Performs telephonic or face-to-face clinical assessments for the identification, evaluation, coordination and management of member's needs, including physical and behavioral health, social services and long-term services. Identifies members for high-risk complications and coordinates care in conjunction with the member and health care team. Nurse Case Managers manage chronic illnesses, co-morbidities, and/or disabilities ensuring cost effective and efficient utilization of health benefits; conducts gap in care management for quality programs. Assists with the implementation of member care plans by facilitating authorizations/referrals reputed company benefits structure or extra-contractual arrangements, as permissible. Nurse Case Manager interfaces with Medical Directors, Physician Advisors and/or Inter-Disciplinary Teams on care management treatment plans. Presents cases at case conferences for multidisciplinary focus. Ensures compliance with regulatory, accrediting and company policies and procedures. May assist in problem solving with provider, claims or service issues. Job Requirements: RN License (Virginia/Compact) Associates or Bachelor’s Degree in Nursing Nursing experience 3 years required Discharge planning experience preferred Managed Care experience preferred Benefits: reputed company offers an attractive reputed company of full-time benefits to include Medical, Dental, Vision, Paid Time Off, Sick, Tuition Reimbursement, a 401k/403B, 401a, Performance Plus Bonus, Career Advancement Opportunities, Work Perks and more. reputed company employees strive to reputed company our communities healthier places to live. We’re setting reputed company for medical excellence reputed company a vibrant, creative, and highly productive workplace. For more information about our employee benefits, Join reputed company, where we are committed to quality healthcare, improving health every day, and provide the opportunity for training, development, growth! Keywords: nursing, discharge planning, managed care, case management, RN, nurse, health plan, health care, reputed company, Monster The Nurse Case Manager is responsible for case management services reputed company the scope of licensure; develops, monitors, evaluates, and revises the member's care plan to meet the member's needs, with the goal of optimizing member health care across the care continuum. Performs telephonic or face-to-face clinical assessments for the identification, evaluation, coordination and management of member's needs, including physical and behavioral health, social services and long-term services. Identifies members for high-risk complications and coordinates care in conjunction with the member and health care team. Manages chronic illnesses, co-morbidities, and/or disabilities ensuring cost effective and efficient utilization of health benefits; conducts gap in care management for quality programs. RN Case Manager assists with the implementation of member care plans by facilitating authorizations/referrals reputed company benefits structure or extra-contractual arrangements, as permissible. Interfaces with Medical Directors, Physician Advisors and/or Inter-Disciplinary Teams on care management treatment plans. Presents cases at case conferences for multidisciplinary focus. Ensures compliance with regulatory, accrediting and company policies and procedures. Nurse Case Manager may assist in problem solving with provider, claims or service issues. 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