*Nurse Case Manager II

Newport News, VA 23604

Posted: 06/13/2024 Job Number: z5G7h3l6a1kMvyS65NP3c0wIMUeZCDbehxZCRdtSbZk= Pay Rate: 43-43.37 Hourly USD

Job Description


Here are the job details for your review:  

 

Job Title: Nurse Case Manager II 

Job Location:  Need candidates in/near New Port News, VA.

Duration: 6 Months Contract (Potential for extension)

Client Name: CVS Health/Aetna  

Pay Rate: $43.37/HR on W2

Start time between Mon-Fri 8am-5pm

Requires an RN with unrestricted active license


Job Description:

 

This position is work from home and will require home visits and possible visits to the Nursing Facility on the below County.

 

Local travel: 50-75% New Port News, VA.


The Case Manager utilizes a collaborative process of assessment, planning, facilitation and advocacy for options and services to meet an individuals benefit plan and/or health needs through communication and available resources to promote optimal, cost-effective outcomes. Requires an RN with unrestricted active license

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 members 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 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

 

3+ years Clinical practice experience, e.g., hospital setting, alternative care setting such as home health or ambulatory care required.
3+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.
Typical office working environment with productivity and quality expectations

 
Education:
RN with current unrestricted VA state licensure. Associates Degree or Higher
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