A-Line Staffing is now hiring RN Nurse Case Manager in Culpeper, VA . The Nurse Case Manager would be working for a Fortune 500 company and has career growth potential. This would be full time / 40 hours per week.

If you are interested in this RN Nurse Case Manager , please contact Tamya Walker at 586-422-1675

RN Nurse Case Manager Compensation

• The pay for this position per hour is $39.92/hr
• Benefits are available to full-time employees after 90 days of employment
• A 401(k) with a company match is available for full-time employees with 1 year of service on our eligibility dates

RN Nurse Case Manager Highlights

• This position is a contract assignment with potential to hire on permanently based upon attendance, performance, and business needs
• The required availability for this position is Monday through Friday 8:00am - 5:00pm .
• Candidates must fit into one of the following locations/regions
  1. Culpepper VA (1)
  2. Herndon, Sterline, Reston (2)
  3. Arlington, Alexandria (1)

RN Nurse Case Manager Responsibilities

• Responsible for the review and evaluation of clinical information and documentation.
• Reviews documentation and interprets data obtained form clinical records or systems to apply appropriate clinical criteria and policies in line with regulatory and accreditation requirements for member and/or provider issues.
• Provide comprehensive healthcare management services to facilitate appropriate healthcare treatment, effectively
  manage healthcare costs and improve healthcare program/operational efficiency involving clinical issues
• Independently coordinates the clinical resolution with internal/external clinician support as required.
• Reviews documentation and evaluates Potential Quality of Care issues based on clinical policies and benefit determinations.
• Considers all documented system information as well as any additional records/data presented to develop a determination or recommendation.

RN Nurse Case Manager Requirements

• Ability to multitask, prioritize and effectively adapt to a fast-paced changing environment
• 3 years clinical experience (for example med surg or behavioral health)
• RN with current unrestricted Virginia state licensure required.

Preferred Qualifications:
• Managed Care experience, Case Management experience in an integrated model
• 5 years clinical practice experience
• Bilingual

If you think this Nurse case manager position is a good fit for you, please reach out to me - feel free to call, e-mail, or apply to this posting!

If you are interested in this RN Nurse Case Manager position , please contact Tamya Walker at 586-422-1675

Key words: RN Nurse Case Manager, remote ,clinical, case management, clinical judgment, claims, clinical tools