What are the responsibilities and job description for the RN Case Manager position at Actalent?
Actively looking for a RN that has strong medical surgical or emergency room experience to have an opportunity to work as an RN Case Manager from Home! This is a Monday to Friday no weekends or holidays! Must have at least 2 years of experience in the hospital setting! Great opportunity if you are looking to work from home in the future! $33 an hour is the max pay rate (no negotiation) Apply today!
Duties:
- Responsible for performing care management within the scope of licensure for members with complex and chronic care needs by assessing, developing, implementing, coordinating, monitoring, and evaluating care plans designed to optimize member health care across the care continuum.
- Performs duties telephonically or on-site such as at hospitals for discharge planning.
- Primary duties may include, but are not limited to:
- Ensures member access to services appropriate to their health needs.
- Conducts assessments to identify individual needs and a specific care management plan to address objectives and goals as identified during assessment.
- Implements care plan by facilitating authorizations/referrals as appropriate within benefits structure or through extra-contractual arrangements.
- Coordinates internal and external resources to meet identified needs.
- Monitors and evaluates effectiveness of the care management plan and modifies as necessary.
- Interfaces with Medical Directors and Physician Advisors on the development of care management treatment plans.
- Negotiates rates of reimbursement, as applicable. Assists in problem solving with providers, claims or service issues.
Additional Skills & Qualifications:
- RN with BSN or ASN- GA license or compact
- ER experience - At least 2 years of clinical experience or any combination of education and experience.
- 2-3 years of experience in Case Management - must have previous experience
- MUST SIT IN GEORGIA
About Actalent:
Actalent connects passion with purpose. Our scalable talent solutions and services capabilities drive value and results and provide the expertise to help our customers achieve more. Every day, our experts around the globe are making an impact. We’re supporting critical initiatives in engineering and sciences that advance how companies serve the world. Actalent promotes consultant care and engagement through experiences that enable continuous development. Our people are the difference. Actalent is an operating company of Allegis Group, the global leader in talent solutions.
The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.
Salary : $33 - $0
