Nursing Case Manager

6 days ago


Remote, Oregon, United States Enterprise Engineering Full time
Job Overview

The Enterprise Engineering team is seeking an experienced Nursing Case Manager to join our dynamic healthcare organization.

This role is ideal for a motivated and detail-oriented nurse with a passion for delivering high-quality patient care.

In this position, you will be responsible for conducting medical necessity reviews for assigned members, collaborating with the Medical Director to ensure accurate adverse determination notices, and ensuring timely discharge planning.

You will have the opportunity to work closely with a talented team of professionals who share your commitment to excellence in patient care.

This is a remote opportunity with flexible working hours.

The estimated salary for this role is $85,000 - $110,000 per year, depending on experience.

  • Candidates should have a minimum of 2 years of experience in medical management clinical functions.
  • A working knowledge of MCG, InterQual, and NCQA standards is required.

We offer a comprehensive benefits package, including health insurance, retirement savings plan, and paid time off.


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