RN Telephonic Case Manager II – Managed Care

Healthcare Support Staffing; Jacksonville (FL); On-site; USD 65,000 - 90,000; Full time

Benefits offered by this job

Fun and positive work environment

Room for growth

Medical benefits 1st of the month after hire

401k Matching

Job summary

A leading healthcare staffing agency is seeking a RN Telephonic Case Manager. The role involves performing care management duties across the continuum of care for members, requiring at least 1 year of case management and 2 years of acute care nursing experience. The ideal candidate will have knowledge of healthcare managed care principles and decision support tools. This position offers a positive work environment, room for growth, and competitive medical benefits.

Qualifications

• Must be an RN with at least 1 year of case management experience in managed care.
• Requires a minimum of 2 years of acute care nursing experience.
• Knowledge of utilization management principles and healthcare managed care is essential.

Responsibilities

• Perform care management duties for medical and supporting services.
• Assess member's health status and treatment options.
• Develop plan of care with specific objectives.
• Coordinate services across healthcare providers.
• Provide patient and provider education.

Skills

Case management

Utilization management

Patient education

Coordination of care

Critical thinking

Education

Registered Nurse (RN) license

Tools

InterQual

Milliman

Job description

A leading healthcare staffing agency is seeking a RN Telephonic Case Manager. The role involves performing care management duties across the continuum of care for members, requiring at least 1 year of case management and 2 years of acute care nursing experience. The ideal candidate will have knowledge of healthcare managed care principles and decision support tools. This position offers a positive work environment, room for growth, and competitive medical benefits.