Nurse Case Manager II

ICONMA, LLC

Richmond, VA

JOB DETAILS
SALARY
$44.14 Per Hour
SKILLS
Ambulatory Care, Case Management, Certified Case Manager (CCM), Clinical Information, Communication Skills, Compensation and Benefits, Computer Skills, Corporate Policies, Establish Priorities, Health Plan, Home Care, Hospital, Maintain Compliance, Managed Care, Multitasking, Pharmacy, Presentation/Verbal Skills, Quality Management, Registered Nurse (RN), Regulations, Regulatory Compliance, Retail, Willing to Travel, Writing Skills
LOCATION
Richmond, VA
POSTED
3 days ago
Our Client, a Retail Pharmacy company, is looking for a Nurse Case Manager II for their Richmond, VA location.
 
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
  • Will be expected to travel to various hospital faciliteis to meet with members and hospital staff.
  • Will collaborate with the assigned case manager to report visit finidngs.
 
Requirements:
  • 3 years Clinical practice experience, e.g., hospital setting, alternative care setting such as home health or ambulatory care required.
  • Healthcare and/or managed care industry experience.
  • Case Management experience preferred--
  • Position requires proficiency with computer skills which includes navigating multiple systems and keyboarding
  • Effective communication skills, both verbal and written.
  • Ability to multitask, prioritize and effectively adapt to a fast paced changing environment
  • RN with current unrestricted state licensure.
  • Case Management Certification CCM preferred
 
Why Should You Apply?

About the Company

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ICONMA, LLC