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Nurse Care Mgr I

Company: The Judge Group
Location: Carson City
Posted on: November 23, 2021

Job Description:

Location: Carson City, NV Description: Our client is currently seeking a Nurse Care Mgr I This job will have the following responsibilities:

  • Responsible for collaborating with healthcare providers and/or consumer to drive personalized health management and improve health outcomes for optimal consumers.--
  • Performs care management activities within the scope of licensure for members with complex and chronic care needs.--
  • Ensures medically appropriate, high quality, cost effective care through assessing the medical necessity of inpatient admissions and extensions of stay, outpatient services, out of network services, and appropriateness of treatment setting and level of care.--
  • Partners with physician clinical reviewers and/or medical directors to interpret appropriateness of care, intervention planning, and general clinical guidance.--
  • Collaborates with providers to assess consumer needs for early identification of and proactive planning for discharge.--
  • Conducts clinical assessment to develop goals that address individual needs in order to develop and implement a care plan.--
  • Monitors and evaluates effectiveness of the care management plan and modifies as necessary.
  • Requires 3 years of acute care clinical experience; or any combination of education and experience, which would provide an equivalent background.-- Qualifications & Requirements:
    • Current, unrestricted RN license in applicable state(s) required.--
    • Multi-state licensure is required if this individual is providing services in multiple states.--
    • Home health/discharge planning experience preferred.--
    • AS/BS in nursing preferred.--
    • Certification as a Case Manager is preferred. For URAC accredited areas, the following applies:
    • Requires3 years full-time equivalent of direct clinical care experience to the consumer
    • --5 years full-time equivalent of direct clinical care experience to the consumer preferred or any combination of education and experience. Contact: khawkins@judge.com This job and many more are available through The Judge Group. Find us on the web at www.judge.com

Keywords: The Judge Group, Reno , Nurse Care Mgr I, Healthcare , Carson City, Nevada

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