Nurse Case Manager

4 weeks ago


Rose City, Michigan, United States US Tech Solutions Full time
Job Title:
Nurse Case Manager - Clinical Expertise

Duration: 3 Months

Job Description:

The Case Manager at US Tech Solutions utilizes a collaborative process of assessment, planning, facilitation, and advocacy for options and services to meet an individual's benefit plan and/or health needs through communication and available resources to promote optimal, cost-effective outcomes.


Responsibilities:

  • Conducts comprehensive assessments of referred member's needs/eligibility and determines approach to case resolution and/or meeting needs by evaluating member's benefit plan and available internal and external programs/services
  • Applies and interprets applicable criteria and guidelines, standardized case management plans, policies, procedures, and regulatory standards while assessing benefits and/or member's needs to ensure appropriate administration of benefits
  • Utilizes case management and quality management processes in compliance with regulatory and accreditation guidelines and company policies and procedures

Requirements:
RN with current unrestricted MI licensure.

Skills:

  • Case Management

Education:
Associates or Bachelors in Nursing

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.



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