What are the responsibilities and job description for the Nurse Case Manager RN position at US Tech Solutions?
About the Role
This is an exciting opportunity to join US Tech Solutions as a Registered Nurse Utilization Manager. As a key member of our team, you will play a critical role in ensuring that patients receive high-quality, cost-effective care throughout the continuum of care.
Key Responsibilities
- Clinical Care Management: Assess patients' clinical needs and develop individualized care plans to optimize health outcomes and reduce costs.
- Care Coordination: Collaborate with healthcare providers, family members, and other stakeholders to ensure seamless coordination of care and optimal patient outcomes.
- Utilesion Management: Evaluate the necessity and appropriateness of medical services and procedures, and negotiate fees as needed.
- Quality Improvement: Monitor patient care activities and outcomes, and participate in quality improvement initiatives to enhance member satisfaction and reduce costs.
Requirements
- Bachelor's degree in nursing or related field
- Active RN license in New Jersey
- Minimum 2 years of clinical experience
- Proficiency in MS Office products and Lotus Notes
