Registered Nurse - UM

Healthcare Operations
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  • RN, with Associates or Bachelor’s degree in Nursing, with an active, unrestricted nursing license
  • 4 – 6 years’ of clinical experience required
  • Managed care experience/Post-acute facility experience/Care management experience preferred
  • Position requires working weekends and holidays on a rotating scheduling required
  • Excellent written and oral communication skills
  • Effectively able to screen and stratify members who are appropriate for care management services
  • Able to manage a caseload of members who are in need of care management and ability to apply the care management process as outlined by the CMSA standards and company policies
  • Ability to make appropriate referrals to internal and external programs that meet the member’s needs
  • Ability to create and execute care management care plans and document per company's policies and procedures
  • Ability to speak professionally with all necessary parties associated with the member’s care plan

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