Market leading healthcare organization looking for hybrid RN Case Manager in greater Lynchburg, VA area! Great opportunity, call us today!
Hybrid role with a blend of working from home and traveling in the field. Candidate must reside in Virginia and will be covering the Lynchburg area (will be reimbursed for mileage). Duties: Telephonic and Field work. Candidates will need a quiet, dedicated work space with no distractions. Must have an active and unrestricted RN license in the state of Virginia or compact license. The Case Manager utilizes a collaborative process of assessment, planning, facilitation and advocacy for options and services to meet an individual's benefit plan and/or health needs through communication and available resources to promote optimal, cost-effective outcomes. Through the use of clinical tools and information/data review, conducts comprehensive assessments of referred member's needs/eligibility and determines approach to case resolution and/or meeting needs by evaluating member's benefit plan and available internal and external programs/services Application and/or interpretation of applicable criteria and guidelines, standardized case management plans, policies, procedures, and regulatory standards while assessing benefits and/or member's needs to ensure appropriate administration of benefits Utilizes case management and quality management processes in compliance with regulatory and accreditation guidelines and company policies and procedures Requirements: Requires an RN in NC with unrestricted active license 3 years Clinical practice experience, e.g., hospital setting, alternative care setting such as home...hire: Commercial Pesticide Application Certification, Certified Playground Inspector and any other certification which are needed for parks operations.PHYSICAL REQUIREMENTS:Must be able to perform Essential Job Duties and Functions with or without reasonable...
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