Well-Established Managed Care Organization seeking a Case Manager to WORK FROM HOME!!!

Well-Established Managed Care Organization seeking a Case Manager to WORK FROM HOME!!!

This is a great opportunity to telecommute from your home office!

 

The Case Manager will assist with the development, organization, implementation, monitoring and evaluation of activities related to the outcome management of assigned patients. Qualified candidate will act as a resource, consultant, and educator in the planning and delivery of patient care within the Network. Additional responsibilities will include but are not limited to:Managing patient care, performing preadmissions, concurrent and retrospective reviews to evaluate appropriateness of admission, length of stay, utilization of resources and usage of other service post encounters. Document all interventions and all telephone encounters with providers, members, and vendors in the appropriate system in accordance with established documentation standards to insure integrity of member services provided over the continuum and over time. Document and close all authorizations and make a determination as to whether the requested services should be paid or referred for possible denial to insure expeditious claims processes.

Requirements:RN Minimum of 2 years of clinical experience or previous Case Management (Medicare, Utilization Management experience preferred - knowledge of medicare./skilled nursing Excellent verbal and written communication skills are necessary and the ability to apply nursing process and system theory to problem activities.

$62,000 - $70,000 plus bonus and profit sharing!

 

MUST BE A LICENSED RN IN THE STATE OF NY OR NJ

 

CONTACT
Elizabeth Stoler

212-584-6420

estoler@greenkeyllc.com

www.greenkeyllc.com