Advanced Care Nurse Specialist
24 hours ago
We are seeking a highly skilled Clinical Nurse Case Manager to join our team.
This role requires strong clinical expertise and excellent communication skills, with the ability to work independently and collaboratively as part of a team.
The successful candidate will have at least 1 year of clinical or hospital experience and hold an active nursing license.
Key Responsibilities:- Conduct thorough medical reviews to ensure compliance with client-specific criteria, medical policy, and member eligibility.
- Utilize evidence-based guidelines for decision-making, ensuring medically appropriate and cost-effective care.
- Collaborate with clinical reviewers and medical directors to deliver high-quality care throughout the medical management process.
- Active USRN license
- At least 1 year of clinical or hospital experience
- Strong clinical expertise and excellent communication skills
Opportunities for professional growth and development
A collaborative and supportive work environment
Competitive compensation and benefits package
How to Apply:If you are a detail-oriented and empathetic professional who is passionate about delivering exceptional patient care, we encourage you to apply.
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