Senior Inpatient Services Case Manager
7 days ago
We are seeking an experienced RN Case Manager to join our team in Texas. As a RN Case Manager, you will play a crucial role in coordinating care for members from admission through discharge.
About the Role:
- Collaborate effectively with the Interdisciplinary Care Team (ICT) to establish individualized transition plans for members
- Serve as a clinical liaison with hospitals, clinical and administrative staff, and perform reviews for clinical authorizations using evidence-based criteria
- Conduct onsite or telephonic clinical reviews at in-network and out-of-network facilities, documenting medical necessity and appropriate level of care
- Interact and communicate with facility staff, members, and their families to assess discharge needs, formulate discharge plans, and provide health plan benefit information
Requirements:
- Bachelor's degree in Nursing and/or Associate's degree in Nursing combined with 4+ years of experience
- Current, unrestricted RN license required, specific to the state of employment
- Case Management Certification (CCM) or ability to obtain CCM within 12 months after the first year of employment
- 4+ years of diverse clinical experience in caring for acutely ill patients with multiple disease conditions
Benefits:
- A competitive salary range of $80,000 - $110,000 per annum
- Opportunity to work with a leading healthcare organization
- Chance to develop your skills and expertise in case management
About Us:
We are part of UnitedHealth Group Inc., a global leader in healthcare services. Our company is committed to making healthcare better for everyone.
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Irving, Texas, United States UnitedHealth Group Inc Full timeJob SummaryWe are seeking a skilled Medical Case Manager to join our team in Texas. This role will involve collaborating with interdisciplinary care teams to establish individualized transition plans for members.About the RoleAs a Medical Case Manager II - Inpatient Services, you will be responsible for performing onsite review or telephonic clinical review...
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