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Required Skills and Experience *
- 3 years hospital inpatient acute care/medical experience; ICU, Medsurge, etc
- Current California Registered Nurse license OR LVN
- Strong critical thinking and communication skills; adaptable, proactive, and flexible
CA driver's license
Nice to Have Skills and Experience
- Bachelor's degree in nursing
- Familiarity with MCG or Interqual
- Active, unrestricted Utilization Management Certification (CPHM)
Job Description *
Insight Global is looking for a passionate and experienced Care Review Clinician to join their team. This role will be remote working off of PST hours, it is preferred this employee sits within a PST time zone. These openings are designed to cover the inpatient team and acts as a float team. This person will be responsible for: assessing inpatient services for members, cost effectiveness, and compliance with all state and federal regulations; analyze clinical service requests from members or providers against evidence based clinical guidelines; identify benefits, eligibility, and length of stay for treatments; and conduct inpatient reviews to determine financial responsibility for the company and its members. Each nurse will care for 25-30 cases. Across the LA county, they are caring for around 500 patients a day.
Contractor
Business Services
$95k-115k (estimate)
07/03/2024
07/31/2024
insightglobal.com
BALTIMORE, MD
500 - 1,000
2001
TYLER HODGINS
$500M - $1B
Business Services
We arent just a staffing company. Were a company that cares for others. It might sound lofty, but it's the idea that gets us up everyday, determined to make it true. Insight Global is a company that people can anchor to in moments of triumph, struggle, and every time in between. Whoever you are and wherever you come from, you matter to us and we have your back. Together, anything is possible.
The job skills required for Case Manager include Acute Care, Critical Thinking, etc. Having related job skills and expertise will give you an advantage when applying to be a Case Manager. That makes you unique and can impact how much salary you can get paid. Below are job openings related to skills required by Case Manager. Select any job title you are interested in and start to search job requirements.
The following is the career advancement route for Case Manager positions, which can be used as a reference in future career path planning. As a Case Manager, it can be promoted into senior positions as a Case Management Director that are expected to handle more key tasks, people in this role will get a higher salary paid than an ordinary Case Manager. You can explore the career advancement for a Case Manager below and select your interested title to get hiring information.