Remote Care Manager II RN – TRICARE, PST or MST Time Zones

Job Overview

  • Specialty License RN
  • State License(s) Nationwide

Judge Healthcare is hiring  RN Care Managers for a premier Managed Care Company.

These roles are 100% remote and permanent. You need to be located in PST or MST!

Must be a Certified Case Manager

These RN’s do authorizations as well as case management.  It is helpful to have experience with home health:  skilled nursing, OT, PT, ST as they will be working a lot with this.  The population they work with are very complex and a lot of pediatric patients

This position is servicing Tricare beneficiaries and is a great opportunity helping out veterans and current service members. 

Position Purpose: Provides Case Management services to a specific clientele. Systematically identify and addresses fragmentation of care, and fill gaps in are using proactive initiatives. Assesses medical records for appropriateness, level of care provided and criteria determination. Identifies appropriate care for patients by evaluating high-risk cases, intensity and complexity of services, health care costs and non-compliance issues. Coordinates care between multiple providers. Develops care plans in coordination with providers, patients, families as appropriate and assess the effectiveness. Organizes and schedules training for all new Case Management employees. May conduct periodic quality assurance audits for accuracy and quality associated with training. May monitor and oversee workflow function in case management.

 

        • Education/Experience: Graduate of Nursing program, BSN Degree preferred.
        • Five years clinical experience in a health care environment
        • Two years proven case management experience required
        • One year training or teaching experience preferred.
        • Telephonic Managed care required

Please send an updated resume to Nicole at ngentile@judge.com or call her directly at 610-617-1519