RN Case Manager opening with a large national healthcare company!
Must have a Minimum three to five years of clinical practice. Preferably hospital nursing and/or utilization management.
Duties and Responsibilities (List all essential duties and responsibilities in order of importance). Provides concurrent review and prior authorizations. Identifies appropriate benefits, eligibility, and expected length of stay for members requesting treatments and/or procedures.Participates in interdepartmental integration and collaboration to enhance the continuity of care including Behavioral Health and Long Term Care.Maintains department productivity and quality measures.Assists with mentoring of new team members.
Completes assigned work plan objectives and projects on a timely basis. Maintains professional relationships with provider community and internal and external customers. Conducts self in a professional manner at all times. Maintains cooperative and effective workplace relationships and adheres to company Code of Conduct. Consults with and refers cases to medical directors regularly, as necessary.
Complies with required workplace safety standards.
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