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*Nurse Case Manager II - Georgia

Conflux Systems, Inc.

GA(remote)

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JOB DETAILS
SALARY
SKILLS
Ambulatory Care, Case Management, Certified Case Manager (CCM), Clinical Information, Compensation and Benefits, Corporate Policies, Cost Control, Home Care, Hospital, Maintain Compliance, Managed Care, Quality Management, Registered Nurse (RN), Regulations, Regulatory Compliance, Team Player
LOCATION
GA
POSTED
30+ days ago

Here are the job details for your review:  

Job Title: Nurse Case Manager II

Duration: 6 Months Contract (Potential for extension)

Location: Remote - GA

Pay Rate:$33.87/ HR on W2

Shift Hours: Monday- Friday 8am - 5pm EST

 

 

They are required to have a private office space free of any distractions due to HIPPAA Compliance.

 

 Will consider submissions outside of GA if:
1. they have a compact license.
2. they must reside in the EST time zone.
 
Description:

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 in Georgia.

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.  
 REQUIRED:
Must have experience working a remote position previously.
Must have case management experience.
 
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 CCM preferred

About the Company

C

Conflux Systems, Inc.

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