Registered Nurse Case Manager / Utilization Review

Healthcare Support Staffing; Columbia (SC); On-site; USD 70,000 - 90,000; Full time

Benefits offered by this job

Medical benefits

Dental benefits

Vision benefits

Positive work environment

Job summary

A leading healthcare staffing firm is seeking a Registered Nurse Case Manager in Columbia, SC. This position offers flexible hours and a competitive salary while specializing in case management for adult and geriatric populations. Responsibilities include assessing and coordinating patient care, and working closely with healthcare providers. Qualified candidates will have clinical nursing experience and knowledge of case management principles. This is a great opportunity with room for growth in one of the fastest-growing healthcare companies in the U.S.

Qualifications

• 1+ years of clinical nursing experience in an acute care setting.
• 1+ years of case management experience with adult and geriatric population.
• Knowledge of utilization management principles.

Responsibilities

• Assist members with dual enrollment, age 65 and over.
• Field case management position requiring assessments.
• Coordinate services between healthcare providers to meet needs.

Skills

Clinical nursing experience

Case management experience

Knowledge of healthcare managed care

Tools

Interqual

NCCN

Job description

Registered Nurse Case Manager / Utilization Review

Full-time

HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise.

Location: Columbia, SC

Job Title: Registered Nurse Case Manager / Utilization Review Nurse

Calling all Registered Nurse Case Managers. Have immediate openings for Registered Nurse Case Managers and Utilization Review Nurses in Columbia, SC. Now is your time to apply and work for a Fortune 125 company. Will take clinical nurses.

Take advantage of flexible hours, a competitive salary, and be a RN Case Manager with one of the fastest-growing healthcare companies in the U.S. Get in NOW, while there is still huge room for growth and career development!

This exciting opportunity will require a RN Case Manager or Utilization Review Nurses who can provide a high level of service and attention to their patients. If you are a RN Case Manager and you meet the qualifications listed below, please click apply below for consideration!

Daily Responsibilities

• This RN Case Manager will be assisting members that have dual enrollment which means age 65 and over and have low income and resources
• This RN Case Manager is a field case management position about 40% field the remainder of the time will be reporting to the North Charleston office if need be to perform assessments on members that have just signed up with the Medicare or Medicare plan
• This RN Case Manager will also be responsible for assessing, planning and coordinating all medical services especially MMT (Medicare Medical Transportation services) and supporting services across the continuum of care for select members to promote quality, cost effective car
• Assess the member's current health status, resource utilization, past and present treatment plan and services, prognosis, short and long term goals, treatment and provider options
• Utilize assessment skills and discretionary judgment to develop plan of care based upon assessment with specific objectives, goals and interventions designed to meet member's needs and promote desired outcomes
• Coordinate services between Primary Care Physician (PCP), specialists, medical providers, and non-medical staff as necessary to meet the complete medical socioeconomic needs of clients

Advantages of this Opportunity

• Benefits offered, Medical, Dental, and Vision
• Fun and positive work environment

Requirements

• 1+ years of clinical nursing experience in an acute care setting
• 1+ years of case management experience with the adult and geriatric population in a managed care, home health, Hospital, or Hospice setting
• Knowledge of utilization management principles and healthcare managed care
• Experience with medical decision support tools (i.e. Interqual, NCCN) and government sponsored managed care programs

If you are interested in being considered for the RN Case Manager position, please click the Apply button below! Seeking Multiple RN Case Managers and Utilization Review Nurses!