8 Nurse Case Manager II - Virginia Jobs in Henrico, VA
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Nurse Case Manager II - Virginia
$84k-101k (estimate)
Full Time
4 Days Ago
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CONFLUX SYSTEMS is Hiring a Nurse Case Manager II - Virginia Near Henrico, VA
Here Are The Job Details For Your ReviewJob Title: Nurse Case Manager II Job Location: Henrico and Glen Allen and Fredericksburg County - VADuration: 5 Months Contract (Potential for extension)Client Name: CVS Health/AetnaPay Rate: $48.39/HR on W2Start time between Mon-Fri 8am-5pmRequires an RN with unrestricted active licenseJob DescriptionThis position is work from home and will require home visits and possible visits to the Nursing Facility on the below County.Local travel: 50-75% Territory includes Henrico and Glen Allen and Fredericksburg - VAThe Case Manager utilizes a collaborative process of assessment, planning, facilitation and advocacy for options and services to meet an individuals benefit plan and/or health needs through communication and available resources to promote optimal, cost-effective outcomes. Requires an RN with unrestricted active license
Through the use of clinical tools and information/data review, 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
Application and/or interpretation of applicable criteria and guidelines, standardized case management plans, policies, procedures, and regulatory standards while assessing benefits and/or members 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 years Clinical practice experience, e.g., hospital setting, alternative care setting such as home health or ambulatory care required.
Healthcare and/or managed care industry experience.
Case Management experience preferred-- Position requires proficiency with computer skills which includes navigating multiple systems and keyboarding
Effective communication skills, both verbal and written.
Ability to multitask, prioritize and effectively adapt to a fast paced changing environment
Sedentary work involving periods of sitting, talking, listening. Work requires sitting for extended periods, talking on the telephone and typing on the computer.
Work requires the ability to perform close inspection of hand written and computer generated documents as well as a PC monitor.
Typical office working environment with productivity and quality expectations
EducationRN with current unrestricted state licensure. Case Management Certification ??CCM?? preferred?
Through the use of clinical tools and information/data review, 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
Application and/or interpretation of applicable criteria and guidelines, standardized case management plans, policies, procedures, and regulatory standards while assessing benefits and/or members 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 years Clinical practice experience, e.g., hospital setting, alternative care setting such as home health or ambulatory care required.
Healthcare and/or managed care industry experience.
Case Management experience preferred-- Position requires proficiency with computer skills which includes navigating multiple systems and keyboarding
Effective communication skills, both verbal and written.
Ability to multitask, prioritize and effectively adapt to a fast paced changing environment
Sedentary work involving periods of sitting, talking, listening. Work requires sitting for extended periods, talking on the telephone and typing on the computer.
Work requires the ability to perform close inspection of hand written and computer generated documents as well as a PC monitor.
Typical office working environment with productivity and quality expectations
EducationRN with current unrestricted state licensure. Case Management Certification ??CCM?? preferred?
Job Summary
JOB TYPE
Full Time
SALARY
$84k-101k (estimate)
POST DATE
06/24/2024
EXPIRATION DATE
06/27/2024
WEBSITE
conclavia.net
HEADQUARTERS
Cumming, GA
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