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Nurse Case Manager
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Nurse Case Manager
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San Antonio, Texas, United States KurzSolutions Full timeJob Title: RN Case ManagerKurzSolutions is seeking a skilled RN Case Manager to join our team. As a RN Case Manager, you will be responsible for participating in all phases of the Case Management Program (CMP) and ensuring that the CMP meets established case management standards of care.Responsibilities:Provide nursing expertise about the CM process,...
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Travel Nurse RN Case Manager
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Travel Nurse RN Case Manager
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Travel Nurse RN Case Manager
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Travel Nurse RN Case Manager
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Travel Nurse RN Case Manager
1 week ago
San Leandro, California, United States TotalMed Case Management Staffing Full timeTravel Nurse RN Case Management Job OpportunityTotalMed Case Management Staffing is seeking a skilled travel nurse RN case manager to join their team for a travel nursing assignment in California.Job DetailsSpecialty: Case ManagementDiscipline: RNEmployment Type: TravelShift: 8 hours, daysHours per Week: 40Duration: 26 weeksWe are looking for a dedicated and...
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Travel Nurse RN Case Manager
2 weeks ago
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Nurse Case Manager
4 months ago
POSITION SUMMARY/RESPONSIBILITIES
Identifies Community First Health Plan members with specific health care needs and provides case management interventions. Analyzes, approves health care services and monitors outpatient care planning for Community First Health Plans members based on established criteria, plan policies and procedures. Formulates and communicates case management plans that efficiently utilize health care services to move the member along the continuum of care towards optimum outcomes in the safest, most cost effective manner.
EDUCATION/EXPERIENCE
Graduation from an accredited school of professional nursing is required, BSN preferred. Master’s degree is preferred. Minimum three years’ acute care experience or managed care experience is required. Minimum one-year of concurrent review experience is required. Candidate must have utilization management and/or quality assurance experience. Basic knowledge of Medicaid, community resources and alternate funding programs is desired. Knowledge of InterQual screening criteria as well as DRG, ICD-9 and CPT coding is preferred.
LICENSURE/CERTIFICATION
Current Registered Nurse license to practice professional nursing issued by the Board of Nurse Examiners for the State of Texas is required. Active Certification in Case Management (CCM) designation is preferred.
