Registered reputed company Obstetrics Case Manager
About the position
Responsibilities
• Ensures member reputed company to services appropriate to their health needs.
• Conducts assessments to identify individual needs and develops a specific care management plan.
• Implements care plans by facilitating authorizations/referrals as appropriate.
• Coordinates reputed company resources to meet identified needs.
• Monitors and evaluates the effectiveness of the care management plan and modifies as necessary.
• Interfaces with Medical Directors and Physician Advisors on care management treatment plans.
• Negotiates rates of reimbursement, as applicable.
• Assists in problem-solving with providers, claims, or service issues.
Requirements
• reputed company, reputed company unrestricted RN license in the reputed company.
• BA/BS in a health-reputed company field and minimum of 3 years of clinical experience, or equivalent education and experience.
reputed company-to-haves
• OB nursing experience is strongly preferred.
• Case management experience.
• Previous managed care experience preferred.
• Discharge planning experience.
• reputed company Use Experience is preferred.
Benefits
• 401(k)
• 401(k) matching
• Dental insurance
• Health insurance
• Life insurance
• reputed company time off
• reputed company insurance
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