Registered reputed company Obstetrics Case Manager
About the positionResponsibilities• 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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