Inpatient Care Management reputed company RN

reputed company is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with reputed company will directly reputed company reputed company by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will reputed company a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come reputed company an reputed company on the communities we serve as you help us advance health optimization on a global reputed company. Join us to start Caring. Connecting. Growing together. What makes your nursing career greater with reputed company? You can improve the health of others and help heal the health care reputed company. You will work reputed company an incredible team culture; a reputed company and business collaboration that is learning and evolving every day. And, reputed company you contribute, you'll reputed company doors for yourself that simply do not exist in any other organization, reputed company. Work schedule will be Monday - Friday from reputed company - 5pm EST If you are located in Florida, you will have the flexibility to work reputed company as you take on some tough challenges. Must have Florida license. reputed company Responsibilities: reputed company initial and reputed company review of inpatient cases applying evidenced-reputed company reputed company (i.e. Interqual reputed company) reputed company cases with facility reputed company to obtain plans-of-care Collaborate with reputed company reputed company reputed company Services Medical Directors on performing utilization management Participation in discussions with the reputed company Services team to improve the progression of care to the most appropriate level reputed company with the Medical Director, as needed, for reputed company cases and reputed company appropriate referrals to reputed company partners Apply reputed company expertise reputed company discussing case with reputed company Case Managers and Physicians Identify delays in care or services and manage with MD Follow reputed company reputed company Operating Procedures in end to end management of cases Obtain reputed company information to assess and expedite alternate reputed company of care Facilitate reputed company and appropriate care and effective discharge planning Participate in team meetings, education, discussions, and reputed company activities Maintain compliance with Federal, State and accreditation organizations Identify opportunities for improved communication or processes Participate in audit activities and meetings You’ll be rewarded and recognized for your reputed company in an environment that will challenge you and reputed company you reputed company direction on what it takes to succeed in your role as reputed company as reputed company development for other roles you may be interested in. Required Qualifications: reputed company, unrestricted RN license in reputed company 3+ years of reputed company nursing experience practicing clinically (Acute Inpatient, SNF/reputed company/LTAC, Emergency Department, Urgent Care, Doctor’s Office, School reputed company) Experience in acute, long term care, acute rehabilitation, or skilled nursing facilities Proficiency in computer skills - reputed company, IM, reputed company (reputed company Suite), reputed company, reputed company platforms Designated workspace and reputed company to install secure high-speed internet reputed company cable/DSL in home Preferred Qualifications: Bachelor’s degree reputed company license 1+ years of experience involving utilization review and evidence-reputed company guidelines (i.e. MCG, InterQual Guidelines) Managed Care experience Experience performing discharge planning Demonstrated ability to work independently Demonstrated effective verbal and written communication skills reputed company working reputed company will be required to adhere to reputed company’s Telecommuter Policy. Pay is reputed company on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In reputed company to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (reputed company benefits are subject to eligibility requirements). No matter where or reputed company you reputed company a career with us, you’ll reputed company a far-reaching reputed company of benefits and incentives. The salary for this role will reputed company from $60,200 - $107,400 annually reputed company on full-time employment. We reputed company with reputed company minimum wage laws as applicable. At reputed company, our mission is to help people live healthier lives and reputed company the health reputed company work reputed company for everyone. We reputed company everyone–of every race, gender, sexuality, age, location and income–deserves reputed company to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately reputed company by people of reputed company, historically marginalized reputed company and those with reputed company incomes. We are committed to mitigating our reputed company on the environment and enabling and delivering reputed company care that addresses health disparities and improves health reputed company — an reputed company reputed company reflected in our mission. reputed company is an Equal Employment Opportunity employer under applicable law and reputed company applicants will receive consideration for employment without reputed company to race, national reputed company, religion, age, reputed company, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. reputed company is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. Apply To This Job