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Actalent is Hiring a RN Case Manager (Utilization Review) Near Florence, AL
Hiring a Utilization Review Case Manager for a great hospital FULLY REMOTE. Great culture and environment!
MUST HAVE ACTIVE CA RN LICENSE, EPIC, AND INTERQUAL EXPERIENCE TO APPLY!!
Description:
This position facilitates utilization management (UM) processes to support that the right care is provided at the right place and at the right time. To accomplish these goals, he/she applies established criteria to evaluate the appropriateness of admission, level of care, continued hospitalization, and readiness for care transition; assures timely movement of patients throughout the continuum of care by conducting concurrent review and proactively resolving care, service, or transition of care delays/issues as necessary; in collaboration with the Facility Acute Care Manager (CM). This position provides third-party payers clinical information to assure reimbursement; and coordinating care with the treatment team, patient, family and others as necessary.
Skills:
Case management, Care management, Acute care, Rn license, Health care, Epic, Discharge Planning, Utilization review, Utilization management, interqual
Top Skills Details:
Case management, Care management, Acute care, Rn license
Additional Skills & Qualifications:
• Current CA RN Licensure
• InterQual experience
• EPIC Experience
• 2 years of experience
• Recent acute hospital case management experience preferred
Experience Level:
Intermediate Level
About Actalent
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.
Diversity, Equity & Inclusion
At Actalent, diversity and inclusion are a bridge towards the equity and success of our people. DE&I are embedded into our culture through:
- Hiring diverse talent
- Maintaining an inclusive environment through persistent self-reflection
- Building a culture of care, engagement, and recognition with clear outcomes
- Ensuring growth opportunities for our people
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.
Job Summary
Other
$74k-89k (estimate)
05/24/2024
06/01/2024
The job skills required for RN Case Manager (Utilization Review) include Case Management, Care Management, Acute Care, Collaboration, Discharge Planning, Initiative, etc. Having related job skills and expertise will give you an advantage when applying to be a RN Case Manager (Utilization Review). 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 (Utilization Review). 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 (Utilization Review) positions, which can be used as a reference in future career path planning. As a RN Case Manager (Utilization Review), 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 (Utilization Review). You can explore the career advancement for a RN Case Manager (Utilization Review) 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.
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Case Managers generally work with patients that have chronic health conditions such as diabetes, heart disease, seizure disorders, and COPD.
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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.
