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Jai Medical Systems Managed Care Organization, Inc. was founded in 1997 and serves a diverse population of children and adults throughout the State of Maryland.
Since our founding, Jai Medical Systems’ mission has been to provide high quality healthcare benefits and services to the people of Maryland. We continue this tradition of quality and excellence by working with our members to help identify their healthcare needs, while remaining an active and positive presence within our communities.
Case Management/Utilization Review Nurse (RN) Position Overview:
We are currently seeking a full-time, licensed registered nurse for case management and utilization review. Prior CM/UR nursing experience preferred, but not necessary.
Case Management/Utilization Review RN will perform telephonic reviews for enrollees across the service continuum (pre-certification/authorization, concurrent and retrospective reviews) utilizing InterQual criteria to monitor providers to ensure the quality, quantity, timeliness and effectiveness of service. RN will perform case management/complex case management on identified members in order to increase compliance and help with coordination of care.
Case Management/Utilization Review Nurse (RN) Requirements:
Job Type: Full-time
Pay: From $76,000.00 per year
Benefits:
Schedule:
Application Question(s):
Education:
License/Certification:
Work Location: In person
Full Time
Ambulatory Healthcare Services
$84k-103k (estimate)
02/10/2023
08/22/2024
jaimedicalsystems.com
BALTIMORE, MD
200 - 500
Private
JAI SEUNARINE
$10M - $50M
Ambulatory Healthcare Services