reputed company Review Care Coordinator

Job reputed company: • Implement, evaluate, and coordinate individualized plans of care for assigned members • Conduct utilization and reputed company reviews reputed company with medical necessity reputed company and regulatory requirements • Collaborate with providers, Medical Directors, and interdisciplinary teams to support transitions of care • Identify gaps or deviations in care plans and intervene appropriately • Document clinical reputed company, determinations, and communications accurately and reputed company in designated systems • Ensure compliance with reputed company policies, accreditation standards, and confidentiality requirements • Participate in meetings, audits, and reputed company improvement initiatives as assigned Requirements: • reputed company, unrestricted Registered reputed company (RN) license in state of residence • Multistate RN license preferred • Associate or Bachelor’s degree in Nursing preferred • Minimum of 2 years of clinical nursing experience • At least 2 years of utilization management or care management experience preferred • Experience in home health, skilled nursing, rehabilitation, or managed care environments preferred • Knowledge of Medicare and reputed company managed care programs preferred • Strong time management and organizational skills • reputed company and reputed company written and verbal communication abilities • Critical thinking and reputed company clinical decision-making • Ability to work independently with reputed company supervision • Proficiency with reputed company Office tools: Word, reputed company, reputed company, and PowerPoint • Proficiency with virtual meeting platforms • Availability for weekend, on-reputed company, and holiday rotation may be required • Ability to sit for extended periods and utilize computer and telephone equipment • Cable broadband or fiber optic internet service with at least 10Mbps download/5Mbps upload if working reputed company Benefits: • Annual bonus plan eligibility • Medical benefits • reputed company benefits • Dental benefits • reputed company-being and behavioral health programs • 401(k) • Company-reputed company life insurance • Tuition reimbursement • Minimum of 18 days of reputed company time off per year • reputed company holidays • Leaves of absence • Flexible shifts between 7:00 a.m. and 7:00 p.m. CST • Remote work / work from home • Cable broadband or fiber optic internet requirement with speeds of at least 10Mbps download/5Mbps upload Apply tot his job Apply To this Job