As a RN Case Manager, your ability to manage client care with specific knowledge and experience in bedside care, symptom management, crisis intervention and family intervention are feature assets for this high-profile nursing position.
In this role, you will work telephonically and in the field with patients identified as high risk to identify needs, set goals and implement action steps towards achieving goals. Empower patients to help them improve their quality of life.
Performs utilization and case management for Health Plan members. Responsibilities include utilization management and review of pre-authorization requests and inpatient admissions to determine the appropriateness of the identified services.
Directly contributing to the creation of an outcomes-based patient care delivery system that is a planned process involving service coordination, monitoring, and management to achieve quality clinical outcomes, patient/physician/payor satisfaction, and cost effective utilization of resources
This individual is responsible for telephonic case management of work related injuries which includes assessment, planning, coordination, implementation and evaluation of. injured/disabled individuals.