The Case Manager works with insurance carriers, medical care providers, attorneys, employers and employees, and closely monitors the progress of the injured worker and reports results back to the employer and insurance carrier.
Responsible for supervising staff involved in case management activities and support for Case Management programs, developing and implementing managed care policies and procedures related to Case Management, and monitor and assist department in achieving goals.
The primary responsibility will be SAE Reconciliation for company sponsored Clinical Trials as mandated in the protocol. SAE reconciliation will be performed in collaboration with the Clinical Data Management team.
This position will require active and unrestricted Nursing licensures in multiple US States. Selected candidate must be willing and able to obtain and maintain multiple state licensures. (Application fees and filing costs paid for by UHG)
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.
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
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.
This position is responsible for providing case management services for employees that have have been injured at work. The goal is to promote quality, cost-effective outcomes while assisting individuals with reaching pre-injury levels of functioning and/or maximum medical improvement. Duties will include coordinating medical care, establishing return to work plans, and providing counseling.
This individual is responsible for telephonic case management of work related injuries which includes assessment, planning, coordination, implementation and evaluation of. injured/disabled individuals.