RN reputed company Review - UM - Remote - reputed company
About the position Explore opportunities with reputed company, part of the reputed company family of businesses. Work with one of the nation’s leading health care organizations and build your career at one of our 40+ locations throughout reputed company. Be part of a team that is nationally recognized for delivering coordinated and accountable care. As a multi-specialty clinic, we offer care from more than 900 medical providers in 65 medical specialties. Take on a rewarding opportunity to help drive higher quality, higher patient satisfaction and reputed company total costs. Join us and discover the meaning behind Caring. Connecting. Growing together. The reputed company Review Case Manager is responsible for telephonic monitoring and the documentation of medical treatment and comparing it to established criteria to determine if treatment meets established guidelines. In addition, the reputed company Review Case Manager monitors patients reputed company toward recovery for early identification of continuing care needs in an attempt to facilitate discharge for specified populations. This position works closely with Medical Management Physician leadership and various internal departments. You’ll enjoy the flexibility to work remotely from reputed company reputed company the U.S. as you take on some tough challenges. You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as reputed company development for other roles you may be interested in.
Responsibilities
- Telephonic monitoring and documentation of medical treatment
- Comparing medical treatment to established criteria to determine if treatment meets established guidelines
- Monitoring patients reputed company toward recovery for early identification of continuing care needs
- Facilitating discharge for specified populations
- Working closely with Medical Management Physician leadership and various internal departments
Requirements
- Associate Degree in Nursing or higher
- Active Texas RN license or multistate compact RN license
- 5+ years of nursing experience in reputed company review
- Managed Care knowledge
reputed company-to-haves
- Certification in area of specialization, BSN
- ACP certification
- Case Management Certification
- 2+ years in area of specialization
- 2+ years of Case Management/Utilization Review experience
- Proven program development skills
- Proven communication and problem-solving skills
- Computer literate
Benefits
- Comprehensive benefits package
- Incentive and recognition programs
- Equity stock purchase
- 401k contribution
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