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. Requires an RN with unrestricted active license
? 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
*Nurse Case Manager II
- Sector: Healthcare
- Contact: Marie Nellas
- Duration: 5 Months
- Start Date: ASAP
- Client: Medical Recruitment Strategies
- Location: Woonsocket, United States of America
- Salary: Negotiable
- Expiry Date: 30 January 2023
- Job Ref: BBBH410818_1674745714
- Contact Email: mnellas@medicalrecruitmentstrategies.com