Utilization Review, Case Management
Full Time
Minnesota
Posted 6 months ago
Job Description: Nurse case manager M-F 8-5 or 9-6
General:
- Growing innovative healthcare company
- Family owned & operated for more than 34 years
- Awesome benefits & bonuses
- Flexible environment
Responsibilities:
- Day to day care management of patients.
- Follow up with providers.
- Screen current & future admissions.
- Screen for early discharge potential.
- Communicate regarding short & long term goals for patients.
- Coordinate the utilization of network resources to patients.
- Identify cost effective alternatives to continuity of care.
- Able to work with Pharmacy Benefits Manager.
- Facilitate patient reporting to clients.
Qualifications:
- Organized & high attention to detail.
- Empathize with patients both in person & over the phone
- Mindful of business & regulatory requirements.
Required experience:
- Valid RN or LPN license
- Case management experience preferred.
- Knowledge of self-funded employer sponsored health plans/stop-loss a plus
Job Features
Job Category | BSN, LPN, RN |
custom | custom |