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RN Case Manager

2021-09-19 USD 100 1000000 Contract 2021-10-19
  • Job Id:

  • Profession:

    Case Management
  • Hiring Organization:

  • Employment Type:

5810 Coral Ridge Drive, Suite 250 Coral Springs FL 33076 USA
customer support [+954-656-8600]
  • Specialty:

    Floor CM
  • 321 Main St.


    Silver Spring, MD 20901Silver SpringMD
  • Start date:

    call for details
  • Salary:

    call for details


Minimum four (4) years of experience in hospital patient care delivery, OR completion of Master's degree in case management program in lieu of minimum years of experience

*Knowledge of the Nurse Practice Act, TJC, DMHC, CMS, NCQA, HIPPA, ERISA, EMTALA & all other applicable Federal/state/local laws and regulations *Demonstrated strong communication and customer service skills, problem-solving, critical thinking, & clinical judgment abilities *Fundamental word processing & computer navigation skills & the ability to interpret & use analytic data in day to day operations *Knowledge of health care benefits associated with various business line (Medicare/KPSA, Commercial/KFH, Medi-Cal, Federal, etc.). *Must be able to work in a Labor/Management Partnership environment
Preference with Kaiser system Needs RN license for MD/VA and/or DC Seasoned Utilization Review Nurse with preference ER UR Preference experience w/ MCG (Interqual is okay) Familiarity Medicare/Medicaid guidelines for Inpatient, OBS, home health, SNF, DME, acute rehab Ability to apply Case Management Process Accountable, Flexible , Professional, Collaborative, Resource Management, Technologically savvy as this is a Remote Position. Will spend about 20% of the time at New Carrolton/Hyattsville We have a big need for evenings and weekends.

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More Info


Divisional Headquarters
Two Harbour Place
302 Knights Run Avenue
Suite 1025
Tampa, FL 33602
Phone: 813.418.3800
Toll Free: 1.866.727.4461
Fax: 813.418.2256