Nurse Case Manager

2 days ago


Richmond, Virginia, United States US Tech Solutions Full time
Job Title: Nurse Case Manager

At US Tech Solutions, we are seeking a skilled Nurse Case Manager to join our team. As a key member of our healthcare management team, you will be responsible for assessing, planning, implementing, and coordinating case management activities with members to evaluate their medical needs and facilitate their overall wellness.

Key Responsibilities:

  • Conduct thorough assessments of members' needs and benefit plan eligibility to facilitate integrative functions and smooth transitions to programs and plans.
  • Apply clinical judgment to incorporate strategies designed to reduce risk factors and barriers and address complex health and social indicators that impact care planning and resolution of member issues.
  • Assess members' level of work capacity and related restrictions/limitations, and utilize a holistic approach to determine the need for referrals to clinical resources.
  • Consult with supervisors and others to overcome barriers in meeting goals and objectives, and present cases at case conferences for multidisciplinary focus to benefit overall claim management.
  • Utilize case management processes in compliance with regulatory and company policies and procedures.

Requirements:

  • Active RN license in Virginia required.
  • Associate or Bachelor's in nursing.
  • Case management and/or discharge planning experience preferred.

About US Tech Solutions:

US Tech Solutions is a global staff augmentation firm providing a wide range of talent on-demand and total workforce solutions. We are an Equal Opportunity Employer and welcome applications from qualified candidates without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.



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