What are the responsibilities and job description for the Registered Nurse Case Manager position at INFOPRO LEARNING PRIVATE LIMITED?
Position: Nurse Case Manager II
Location: Fully Remote (must live in a Compact RN state); they must reside in the EST time zone
Shift: Mon - Fri 8am to 5pm EST
REQUIRED:
Must have experience working a remote position previously.
Must have case management experience.
Position Summary:
The Case Manager utilizes a collaborative process of assessment, planning, facilitation and advocacy for options and services to meet an individual’s benefit plan and/or health needs through communication and available resources to promote optimal, cost-effective outcomes.
Key Responsibilities:
Through the use of clinical tools and information/data review, conducts comprehensive assessments of referred member's needs/eligibility and determines approach to case resolution and/or meeting needs by evaluating member's benefit plan and available internal and external programs/services. Application and/or interpretation of applicable criteria and guidelines, standardized case management plans, policies, procedures, and regulatory standards while assessing benefits and/or member's needs to ensure appropriate administration of benefits. Utilizes case management and quality management processes in compliance with regulatory and accreditation guidelines and company policies and procedures.
Position requires proficiency with computer skills which includes navigating multiple systems and keyboarding
Experience:
- 2-3 years Clinical practice experience, e.g., hospital setting, alternative care setting such as home health or ambulatory care required.
- 2 years Healthcare and/or managed care industry experience.
- Case Management experience required.
Education:
- RN with current unrestricted compact state licensure.
- Case Management Certification preferred.
About Us:
Infopro Learning stands as a premier staffing firm offering tailored staffing solutions across various sectors including hospitality, construction, retail, IT, Non-IT, and healthcare. We’ve assisted numerous businesses in optimizing their staffing needs, allowing them to focus on their core operations.
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Job Types: Full-time, Contract, Temporary
Pay: $33.00 - $35.00 per hour
Experience:
- case management : 1 year (Required)
- Clinical practice, hospital or alternative care setting: 3 years (Required)
- remote position: 1 year (Required)
License/Certification:
- RN License (Required)
Location:
- Florida (Required)
Work Location: Remote
Salary : $33 - $35