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Case Manager - RN

Company: myRN Staffing Solutions
Location: Flint
Posted on: January 16, 2020

Job Description:

Case Manager Flint, Michigan myRN Staffing Solutions is assisting our client, to hire a compassionate and caring Case Manager. This is a 13-week, temp to perm assignment working days. The ideal candidate will have a very detailed work history with interest in this becoming a perm job. 3+ years of nursing experience AND 2+ years of case mgt/medical mgt/utilization experience is required. Responsibilities of the Case Manager: Uses independent judgment when necessary within scope of practice, including responsibility for medical management audits. Works with the PCP, the member and management to promote the delivery of quality services at the most appropriate and cost-effective setting. Collaborate with multiple disciplines and resources to facilitate the transition of the patient to the appropriate site on the continuum of care. Integrates decisions of committees into the operation and activities of the department. Incorporates services to provide optimal health. Monitors member s utilization patterns for identification of high risk, and under and overuse of services. Collaborates with Medical Director and senior management on complex cases and special projects. Requirements BSN - Required 3+ years of Nursing Experience - Required 2+ Years of Case Mgt/Medical Mgt/Utilization - Required CCM Certification - Required Well round knowledge of HMO, PPO, TPA, PHO and Managed Care functions including an understanding of claims administration, including CPT-4 codes, revenue codes, HCPCS codes, DRGs, etc. - Highly Preferred Microsoft Excel Test and Data Entry Test results included ins Submission - Required Contractors within 50 Miles are HIGHLY Preferred Michigan State registered nurse license required Compensation and Benefits Salary: $30-33/hour based on experience, benefit level and traveler status. First Day Health Insurance Coverage: medical, dental, and vision Complimentary $15, 000 Life Insurance 401k Retirement Savings Plan (up to 4.0% Company Match) License Reimbursement (when applying for a license in a new state) $500 Referral Bonus *Eligibility for these benefits depends on meeting various requirements. JN -012020-6741

Keywords: myRN Staffing Solutions, Flint , Case Manager - RN, Other , Flint, Michigan

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