Registered Nurse Case Manager / Utilization Review

Job Description

Location: Columbia, SC

Job Title: Registered Nurse Case Manager / Utilization Review Nurse

Calling all Registered Nurse Case Managers. Have immediate openings for Registered Nurse Case Managers and Utilization Review Nurses in Columbia, SC. Now is your time to apply and work for a Fortune 125  company.  Will take clinical nurses. 

Take advantage of flexible hours, a competitive salary, and be a RN Case Manager with one of the fastest-growing healthcare companies in the U.S. Get in NOW, while there is still huge room for growth and career development!

This exciting opportunity will require a RN Case Manager or Utilization Review Nurses who can provide a high level of service and attention to their patients. If you are a RN Case Manager and you meet the qualifications listed below, please click apply below for consideration!

Daily Responsibilities:

• This RN Case Manager will be assisting members that have dual enrollment which means age 65 and over and have low income and resources
• This RN Case Manager is a field case management position about 40% field the remainder of the time will be reporting to the North Charleston office if need be to perform assessments on members that have just signed up with the Medicare or Medicare plan
• This RN Case Manager will also be responsible for assessing, planning and coordinating all medical services especially MMT (Medicare Medical Transportation services) and supporting services across the continuum of care for select members to promote quality, cost effective car
• Assess the member's current health status, resource utilization, past and present treatment plan and services, prognosis, short and long term goals, treatment and provider options
• Utilize assessment skills and discretionary judgment to develop plan of care based upon assessment with specific objectives, goals and interventions designed to meet member's needs and promote desired outcomes
• Coordinate services between Primary Care Physician (PCP), specialists, medical providers, and non-medical staff as necessary to meet the complete medical socioeconomic needs of clients

Advantages of this Opportunity:

• Competitive salary
• Benefits offered, Medical, Dental, and Vision
• Growth Opportunity
• Fun and positive work environment
• Interested in being considered?

If you are interested in being considered for the RN Case Manager position, please click the Apply button below! 

Qualifications

Requirements:

• 1+ years of clinical nursing experience in an acute care setting
• 1+ years of case management experience with the adult and geriatric population in a managed care, home health, Hospital, or Hospice setting
• Knowledge of utilization management principles and healthcare managed care
• Experience with medical decision support tools (i.e. Interqual, NCCN) and government sponsored managed care programs

Additional Information

Interested in being considered for this great Registered Nursing Opportunity?

If you are interested in being considered for the RN Case Manager position, please click the Apply button below! Seeking Multiple RN Case Managers and Utilization Review Nurses!

Company Description

HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career!