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Case Manager RN Utilization

Corpus Christi, TX 78412

Posted: 04/04/2019 Industry: Healthcare Job Number: 97824 Pay Rate: Pay is based on experience
Case Manager-Case and Disease Management

Nationally recognized hospital system in Texas.
Job Description:
The Case Manager is responsible for the coordination and efficient utilization of health care resources for the provision of quality care for all patients throughout the Continuum of Care. The Case Manager will facilitate clinically appropriate and fiscally responsible patient care through communication with the treating physicians, and all other members of the health care team. The Case Manager assesses and identifies the patient s clinical findings and determines, in conjunction with the Physician Advisor/Administration, established benefits, protocols, pathways, and evidence based medicine tools the health care services an level of care appropriate for the patient. Management is prospective through the outpatient an admission process, concurrent during hospitalization and retrospective through review of individual cases and identification of trends and patterns. The Utilization Review Case Manager communicates with providers of care/services to ensure appropriate levels of care.
Position Details:
Job Title: Case Manager-Case Management
Work Location: Based in Corpus Christi, TX
Benefits Eligible: Yes
Paid Relocation: Yes
Bonus Eligible: Yes
Work Schedule:
Monday - Friday 8 AM to 5PM.
Hours Per Week: 40 Hours
Preferred Qualifications:
Registered Nurse Licensure in the state of Texas.
A minimum of three (3) years prior clinical experience. One year of acute inpatient case management or managed care case utilization management experience preferred.
Certification in Case Management or Managed Care preferred or must be obtained within two years of employment.
Pay is based on Experience: Competitive Salary.
If you want to pursuit this opportunity and are qualified, please send the resume to Adam Saucedo at adam.Saucedo@lkjordan.Com.
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