Job Summary
A managed healthcare company has an open position for a Remote RN Care Manager II.
Core Responsibilities Include:
- Assessing the member's current health status, resource utilization, past and present treatment plan and services, prognosis, short and long term goals, treatment and provider options
- Utilizing assessment skills and discretionary judgment to develop plan of care based upon assessment with specific objectives, goals and interventions designed to meet member's needs and promote desired outcomes
- Facilitating member access to community based services
Applicants must meet the following qualifications:
- Graduate from an Accredited School of Nursing
- 2+ years of clinical nursing experience in a clinical, acute care, or community setting and 1+ years of case management experience in a managed care setting
- Knowledge of utilization management principles and healthcare managed care
- Experience with medical decision support tools (i.e. Interqual, NCCN) and government sponsored managed care programs
