RN Case Manager

2 weeks ago


Washington District of Columbia, US MEDSTAR HEALTH Full time

This position reports to the office 4 days a week with a schedule of 8:30A - 5:00P

Coordinates, negotiates, procures and manages care of our members/enrollees to facilitate cost effective care and members/enrollees satisfaction. Facilitates the continuum of care, works collaboratively with interdisciplinary staff, internal and external to the organization. Responsible for carrying a complex case management case load, ownership of a case management program(s), pre- authorization reviews to provide Medically Necessary, timely and quality health care services in the most cost-effective manner and pharmacy reviews per population served. We recruit, retain, and advance associates with diverse backgrounds, skills, and talents equitably at all levels.


3-4 years Case management experience Required 3-4 years UM or related experience Required 5-7 years diverse clinical experience Required 3-4 years acute inpatient care clinical experience RequiredRN - Registered Nurse - State Licensure and/or Compact State Licensure Valid RN license in the District of Columbia and/or the State of Maryland based on work location(s) Upon Hire Required and CCM - Certified Case Manager Upon Hire Preferred
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