(Archived) RN-Utilization Management

Specialty: RN- Case Manager

Job Description

Conducts initial assessments within designated time frames on patients identified as having complex needs (assessment areas include clinical, behavioral, social, environment and financial)

Collaborates effectively with integrated care team to establish an individualized plan of care for members. The integrated care team includes physicians, case managers, referral coordinators, pharmacists, social workers, and other disease educators.

Develops interventions to assist the member in meeting short and long-term plan of care goals

Engage patient, family, and caregivers to assure that a well-coordinated treatment plan is established

Prioritizes care needs, set goals and develop an initial plan of care that also addresses gaps and or barriers to care and uses evidence-based practice as the foundation

Makes outbound calls to assess member health status, identify gaps or barriers in treatment plans

Provides member education to assist with self- management goals

Makes referrals to outside sources

Qualifications and Job Info

Active RN State License

3+ years of experience in a hospital setting, acute care, direct care experience or experience as a telephonic Case Manager for an insurance company

2+ years’ experience of managed care/case management experience Proficient with Microsoft

Benefits

Day 1 Health benefits (Health/Vision/Dental)

Weekly Pay

Direct Deposit

Travel reimbursement

State License reimbursement

$1500 Referral bonus program

About Us
All Medical Personnel is a national leader in healthcare staffing recognized by Staffing Industry Analysts (SIA) as one of the nation's largest healthcare staffing firms. Our goal is to simplify the Allied process with a flexible and personalized approach. Our clients range from local, regional and national healthcare organizations throughout the United States. Whatever the focus of your medical career, we can help you find the perfect allied opportunity!

If you’re interested, please:
1) Email with your Resume/Questions
2) OR call me at the number below

Best Regards,

Paula Cleveland
Senior Account Manager
All Medical Personnel | Nursing
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