Compensation: $64,580.00 - $104,060.00 /year *
Employment Type: Full-Time
Industry: Advertising/Marketing/Public Relations
The Registered Nurse will perform clinical and operational processes related to transition / coordination of care and utilization / case management of Post-Acute Care services including but not limited to long term acute care, skilled nursing and inpatient rehab facilities, home health care, care management, and utilization review. The Registered Nurse is responsible for the implementation, evaluation and coordination of the plan of care for all assigned patients. Develops care plan and other case management tools by coordinating/consulting with Home Health Agencies as well as member. Identifies progress toward desired care outcomes; intervening to overcome deviations in the expected plan of care; reviewing the care plan with members in conjunction with the direct care providers. Monitors delivery and utilization of care by completing member rounds with Medical Directors.
-Current unrestricted Registered Nurse licensure without restrictions
-Minimum 5 years clinical experience with at least 3 years managed care experience
-2 " 4 years experience in utilization management required.
-Home health, SNF, and/or rehab experience desired
-Medicare/Medicaid managed care programs preferred
* The salary listed in the header is an estimate based on salary data for similar jobs in the same area. Salary or compensation data found in the job description is accurate.
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