- Develop care plan and other case management tools by participating in meetings.
- Identify progress toward desired care outcomes; intervening to overcome deviations in the expected plan of care; reviewing the care plan with patients in conjunction with the direct care providers.
- Monitor delivery and utilization of care by completing patient rounds with Medical Directors.
Minimum Education, Licensure and Professional Certification requirement:
- Associate Degree in Nursing or Bachelor Degree in Nursing preferred.
- Registered Nurse required.
- Must possess valid, unrestricted nursing license in state of residency.
Minimum Experience required:
- Minimum 5 years clinical experience with at least 3 years managed care experience
- 2 – 4 years’ experience in utilization management required.
- Home health, SNF, and/or rehab experience desired.
- Medicare/Medicaid managed care programs preferred.
- Position is remote.