We are seeking a Case Manager RN with (5) or more years of experience working in a medical facility, hospital, or other healthcare-related environment. Along with (2) or more years of experience in case management or IPA preferred. Must have previous experience coordinating with providers, provider staff, hospital staff, patients, and patient family members to establish an appropriate level of care.
- Knowledge of nursing processes
- Case management and continuity of care.
- Familiar with regulatory requirements for managed care, HMO, and EPOs.
- Knowledge of disease management strategies
- Managed care experience preferred.
- Knowledge of network and benefit limitations and ability to collaborate with stakeholders to find alternatives that meet patient needs and achieve positive outcomes.
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