Nurse Care Manager
2 weeks ago
Clinical Nurse Case Managers play a pivotal role in ensuring that patients receive optimal care, delivered at the right time and place.
This position requires strong clinical acumen, exceptional analytical skills, and effective communication abilities.
Main Responsibilities:
- Conduct thorough Utilization Management reviews to ensure adherence to established criteria and medical policies.
- Determine member eligibility and benefits by reviewing service requests.
- Collaborate with clinical reviewers and medical directors to guarantee medically appropriate care.
- Promote member access to high-quality healthcare while optimizing cost-effectiveness.
Key Qualifications:
- Holds an active and non-active USRN license.
- Minimum 1 year of experience in clinical or hospital settings.
- Possesses a USRN with RN licensure.
Benefits Overview:
The ideal candidate will have the opportunity to make a meaningful impact in patient care, while working collaboratively with a dynamic team of professionals.
About This Role:
This is a unique opportunity to leverage your expertise in clinical nursing to drive positive outcomes for patients and families.
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