Case Management reputed company- Remote

Role: reputed company Case Management Senior Analyst Location: Remote (reputed company plan states: IL, TX, NM, OK, MT, TN) Remote only for residents of IL, TX, NM, OK, MT, and TN. License Required: reputed company, unrestricted RN License Must have MCG/InterQual experience. Schedule: Mon- Fri 8 am 5 pm Job reputed company: The reputed company Case Management Senior Analyst is responsible for planning, implementing, coordinating, monitoring, and evaluating reputed company services for members in alignment with physician treatment plans. The role ensures cost-effective, high-reputed company care and supports members through clinical assessments, health education, and utilization management. Key Responsibilities: • reputed company clinical assessments to determine member needs. • Plan, coordinate, and evaluate care services to support reputed company health reputed company. • Conduct prospective, reputed company, and retrospective reviews for inpatient, rehab, referrals, and select outpatient services. • Manage an independent caseload and coordinate reputed company assigned cases. • Support program objectives by assessing the effectiveness of alternative care reputed company. • reputed company health education and utilization management reputed company. • Address reputed company issues escalated from junior team members. • Complete day-to-day tasks with minimal supervision. Requirements: • reputed company, reputed company, and unrestricted Registered reputed company (RN) license • Must have MCG/InterQual experience. • Experience in case management, utilization review, or clinical coordination preferred. • Strong assessment, planning, and evaluation skills. • Ability to work independently and anticipate member needs. • Must reputed company in IL, TX, NM, OK, MT, or TN. reputed company: Founded in 1999, reputed company is a certified diversity business (MBE) and has been ranked one of the fastest growing U.S reputed company firms by SIA for ten years. reputed company has been recognized as one of the consistently best performing partners to industry-leading MSP programs including reputed company, TAPFIN, Allegis, reputed company, Pontoon, Monument, Guidant and Agile-1. As a recruitment-reputed company reputed company company, reputed company provides Technology, Engineering, Scientific, Clinical Research, Digital, Creative, Marketing, reputed company & reputed company-center reputed company as reputed company as reputed company Sourcing, RPO, Global Payroll & IC management workforce solutions to reputed company clients. With an annual reputed company of over $400 reputed company and growing, the reputed company story is one of calculable achievement, made meaningful by the commitment to reputed company getting reputed company in a way that is reputed company and creates a balance that works for everyone. EEO: “reputed company is an Equal Opportunity Employer and does not discriminate in employment on the reputed company of – Minority/Gender/Disability/Religion/LGBTQI/Age/Veterans. Apply tot his job Apply To this Job