Episodic Care Manager

Select Source International; Durham (NC); On-site; USD 70,000 - 90,000; Full time

Job summary

Select Source International is seeking an Episodic Care Manager in Durham, North Carolina. In this role, you will perform medical reviews to assess and coordinate the delivery of care within the Health Care System.

You will act as a member advocate, ensuring the promotion of quality, cost-effective health care services based on medical necessity. Collaboration with providers and consumers is essential to deliver high-quality care.

Qualifications

• Must be a Registered Nurse or LPN.

Responsibilities

• Perform medical reviews to assess care delivery.
• Coordinate care across the health care system.
• Act as an advocate for members to ensure quality care.

Education

Registered Nurse or LPN

Job description

Job Description

Position: Episodic Care Manager

Duration: 5 Months + Extension

Job Summary

• The Episodic Care Manager is responsible for performing medical reviews to assess, facilitate, and coordinate the delivery of care across the Health Care System.
• The Episodic Care Manager acts as a member advocate to promote and coordinate the delivery of quality, cost effective health care services based on medical necessity and contractual benefits. In addition, the Episodic Care Manager coordinates with providers and consumers to support the delivery of high quality care across the health care system.

Qualifications

• Registered Nurse or LPN

Additional Information

All your information will be kept confidential according to EEO guidelines.