Case Manager II RN

2 weeks ago


Laredo, United States MRI Full time
Job DescriptionJob Description

 

**Remote Laredo, Zapata, Eagle Pass, and Hebronville area**

***MUST LIVE IN LAREDO OR SURROUNDING AREAS***

Position Purpose: Perform care management duties to assess, plan and coordinate all aspects of medical and supporting services across the continuum of care for select members to promote quality, cost effective care.

Describe the performance expectations/metrics for this individual and their team:

·         Complete all tasks, in-person assessments, mandatory trainings, and any additional outreaches timely to ensure member safety, satisfaction, and needs to meet compliance and contractual requirements.

·         Maintain & promote an all- inclusive environment.

Tell me about what their first day looks like:

·         First day is onboarding in which member has to provide required HR material and register for RUG certification.

  • What previous job titles or background work will in this role?
  • Private duty nursing
  • Home Health

Education/Experience: Graduate from an Accredited School of Nursing. Bachelor’s degree in Nursing preferred. 2+ years of clinical nursing experience in a clinical, acute care, or community setting and 2+ 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.

Licenses/Certifications: Current state’s RN license.

Texas Requirements:

 

 

Company DescriptionMedia Riders Inc is a family-owned Recruitment and Staffing Services company. Providing recruitment and payroll services to our customers, who directly support State and/or Federal funded programs. We are an SBA certified Women-Owned Small Business (WOSB) and Texas certified Historically Underutilized Business (TxHub).Company DescriptionMedia Riders Inc is a family-owned Recruitment and Staffing Services company. Providing recruitment and payroll services to our customers, who directly support State and/or Federal funded programs. We are an SBA certified Women-Owned Small Business (WOSB) and Texas certified Historically Underutilized Business (TxHub).
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