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Largest national Medicaid Managed Care Organization is looking for a REMOTE RN Case Manager to join their growing team! Opportunity to make an impact with an industry leader in a fast-paced environment!
Requirements:
What's in it for you:
Job Description: Perform care management duties to assess, plan and coordinate all aspects of medical and supporting services across the continuum of care for select members to promote quality, cost effective care.
Job Responsibilities:
• Develop, assess and adjust, as necessary, the care plan and promote desired outcome
• Assess the member's current health status, resource utilization, past and present treatment plan and services, prognosis, short and long term goals, treatment and provider options
• Coordinate services between Primary Care Physician (PCP), specialists, medical providers, and non-medical staff as necessary to meet the complete medical socio economic needs of clients
• Develop plan of care based upon assessment with specific objectives, goals and interventions designed to meet member's needs
• Provide patient and provider education
• Facilitate member access to community based services
• Monitor referrals made to community based organizations, medical care and other services to support the members’ overall care management plan
• Actively participate in integrated team care management rounds
• Identify related risk management quality concerns and report these scenarios to the appropriate resources
• Enter and maintain assessments, authorizations, and pertinent clinical information into various medical management systems
Skills:
Case Management, Care Management, CA RN License, EMR System, Medicare, Medical, Medicaid, customer service
Additional Requirements:
Actalent is a global leader in engineering and sciences services and talent solutions. We help visionary companies advance their engineering and science initiatives through access to specialized experts who drive scale, innovation and speed to market. With a network of almost 30,000 consultants and more than 4,500 clients across the U.S., Canada, Asia and Europe, Actalent serves many of the Fortune 500.
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The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.
If you would like to request a reasonable accommodation, such as the modification or adjustment of the job application process or interviewing process due to a disability, please email actalentaccommodation@actalentservices.com for other accommodation options.
Other
$84k-102k (estimate)
04/21/2024
04/26/2024
The job skills required for RN Case Manager - REMOTE include Case Management, Customer Service, Care Management, Managed Care, Primary Care, Initiative, etc. Having related job skills and expertise will give you an advantage when applying to be a RN Case Manager - REMOTE. That makes you unique and can impact how much salary you can get paid. Below are job openings related to skills required by RN Case Manager - REMOTE. Select any job title you are interested in and start to search job requirements.
The following is the career advancement route for RN Case Manager - REMOTE positions, which can be used as a reference in future career path planning. As a RN Case Manager - REMOTE, it can be promoted into senior positions as a Case Management Director that are expected to handle more key tasks, people in this role will get a higher salary paid than an ordinary RN Case Manager - REMOTE. You can explore the career advancement for a RN Case Manager - REMOTE below and select your interested title to get hiring information.
If you are interested in becoming a RN Case Manager, you need to understand the job requirements and the detailed related responsibilities. Of course, a good educational background and an applicable major will also help in job hunting. Below are some tips on how to become a RN Case Manager for your reference.
Step 1: Understand the job description and responsibilities of an Accountant.
Quotes from people on RN Case Manager job description and responsibilities
Case Managers act as patient advocates and make sure the needs of the patient are met effectively and efficiently.
12/13/2021: Burlington, VT
Case Managers generally work with patients that have chronic health conditions such as diabetes, heart disease, seizure disorders, and COPD.
02/20/2022: Altus, OK
The Case Manager RN reflects the mission, vision, and values of NM, adheres to the organization’s Code of Ethics and Corporate Compliance Program, and complies with all relevant policies, procedures, guidelines and all other regulatory and accreditation s
01/12/2022: Rochester, NY
Prepares all required documentation of case work activities as appropriate.
01/28/2022: Lexington, KY
Step 2: Knowing the best tips for becoming an Accountant can help you explore the needs of the position and prepare for the job-related knowledge well ahead of time.
Career tips from people on RN Case Manager jobs
Before becoming an RN case manager, a nurse would be expected to earn some clinical experience.
01/18/2022: Concord, NH
Graduate from an Accredited Nursing Program.
01/10/2022: Albany, NY
Gain Experience Working as a Nurse.
01/10/2022: Worcester, MA
They should be familiar with emerging professional and technical aspects and have RN case management experience.
01/27/2022: Santa Rosa, CA
Step 3: View the best colleges and universities for RN Case Manager.