A provider of medical managed care services has a current position open for a Telecommute Medical Nurse Case Manager. Candidates will be responsible for the following: Helping coordinate the individual’s treatment program. Ensuring quality, cost-effective care.
Understand and recommend analytic approaches to Care Management Operational challenges. Demonstrate familiarity with most areas of mathematical analysis methods, statistical analyses. Qualifications Include: Percent of Travel Required 0 - 10%
Current, unrestricted RN license in the state of Florida. 3 years of experience in a hospital, acute care or direct care setting. Ability to handle multiple tasks and function in a high volume environment. Intermediate / proficient level of experience with MS Office applications.
Must meet the following requirements for consideration: Current unrestricted Florida medical license as an MD or DO or ability to obtain. Board Certification by American Board of Medical Specialties. 3+ years of clinical experience. Experience working in a dynamic, fast-paced environment.
Prior clinical experience in an acute care, skilled or rehabilitation clinical setting. Experience with quality improvement processes pertaining to Medicare guidelines. Excellent computer skills and ability to easily navigate multiple applications.
Sound knowledge of the managed care industry. Strong belief in EBM, and familiarity with current medical issues and practices. Substantial experience in using electronic clinical systems in the payer setting.