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RN Case Manager

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

    67821
  • Profession:

    Case Management
  • Hiring Organization:

    MedPartners
  • Employment Type:

    Contract
MedPartners
https://www.medpartners.com/wp-content/themes/medpartners_theme/assets/images/logo.svg
5810 Coral Ridge Drive, Suite 250 Coral Springs FL 33076 USA
customer support [+954-656-8600] HQ@medpartners.com
  • Specialty:

    Floor CM
  • 321 Main St.

    Location:

    Silver Spring, MD 20901Silver SpringMD
  • Start date:

    call for details
  • Salary:

    call for details

Description

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.

Quick Apply

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More Info

Contact

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
people@medpartners.com