Remote Nurse Case Manager (Must live in Certain Counties in Michigan) from A-Line Staffing Solutions
Macomb, MI
About the Job
Job Title: Remote Nurse Case Manager
Pay: $44.14 an hr | Bi-weekly
Job Type: Remote Position. Must live in either Macomb, Wayne, Barry, Van Buren, Kalamazoo, Calhoun, Branch, St Joseph, Barrien, or Cass Counties
Shift Options:
Monday- Friday 8a to 5p
Remote Nurse Case Manager Overview:
- Through the use of clinical tools and information/data review, conducts comprehensive assessments of referred member's needs/eligibility and determines approach to case resolution and/or meeting needs by evaluating member's benefit plan and available internal and external programs/services
- Application and/or interpretation of applicable criteria and guidelines, standardized case management plans, policies, procedures, and regulatory standards while assessing benefits and/or member’s needs to ensure appropriate
administration of benefits - Utilizes case management and quality management processes in compliance with regulatory and accreditation guidelines and company policies and procedures
Remote Nurse Case Manager Qualifications:
- 2 years Clinical practice experience, e.g., hospital setting, alternative care setting such as home health or ambulatory care required.
- Healthcare and/or managed care industry experience.
- Case Management experience preferred-- Position requires proficiency with computer skills which includes navigating multiple systems and keyboarding
- Effective communication skills, both verbal and written.
- Ability to multitask, prioritize and effectively adapt to a fast paced changing environment
- Sedentary work involving periods of sitting, talking, listening. Work requires sitting for extended periods, talking on the telephone and typing on the computer.
- Work requires the ability to perform close inspection of hand written and computer generated documents as well as a PC monitor.
- Typical office working environment with productivity and quality expectations
Remote Nurse Case Manager Benefits:
- Benefits are available to full-time employees after 90 days of employment and include health, optical, dental, life, and short-term disability insurance.
- A 401(k) with a company match is available for full-time employees with 1 year of service on our eligibility dates.
How to Apply:
If you are interested in this position, please apply OR submit your resume to:Saw Hlaing | shlaing@alinestaffing.com | 412-790-5425
Salary
44 - 44 /hour