8 RN Care Manager II Jobs in Indiana, PA
Professional Management Enterprises is Hiring a RN Care Manager II Near Indiana, PA
- 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.
- Utilize assessment skills and discretionary judgment to develop plan of care based upon assessment with specific objectives, goals and interventions designed to meet member's needs and promote desired outcomes.
- 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.
- Monitor referrals made to community-based organizations, medical care and other services to support the members’ overall care management plan.
- Enter and maintain assessments, authorizations, and pertinent clinical information into various medical management systems.
Graduate from an Accredited School of Nursing. Bachelor’s degree in Nursing preferred. 2 years of clinical nursing experience in a clinical, acute care, or community setting and 1 years of case management experience in a managed care setting. Knowledge of utilization management principles and healthcare managed care. Experience with medical decision support tools (i.e. Interqual, NCCN) and government sponsored managed care programs.
Licenses/Certifications: Current state’s RN license.
Job Summary
Full Time
Business Services
$79k-95k (estimate)
03/06/2024
06/03/2024
pme-indy.com
INDIANAPOLIS, IN
200 - 500
2005
HASKELL PORTEE
$10M - $50M
Business Services
Related Companies
About Professional Management Enterprises
PME is a Minority and Service Disabled Veteran Owned Business founded in 2006, that is a highly valued teaming partner in multiple states to large corporations such as Humana, KPMG, Ernst and Young, Anthem, and HP to name a few. Additionally, we provide services in the areas of healthcare, IT, and professional services to Department of Defense and other Federal Government clients. We also are highly engaged in state work in our home state of Indiana, as well as multiple other states nationwide. We successfully leverage our abilities in Healthcare, Managed Care, IT, and Human Capital Services w...ith our flexibility and robust performance.
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