Telephonic Case Manager Job at Confidential, University, MO

WkpKRG9EVWpwQjdIYkxTN3VRc0x2T2hmNEE9PQ==
  • Confidential
  • University, MO

Job Description

Market leading healthcare organization looking for hybrid RN Case Manager in greater Richmond, VA area! Great opportunity, call us today!

Hybrid role with a blend of working from home and traveling in the field. Candidate must reside in Virginia and will be covering Richmond City.

Duties:

Telephonic and Field work. Candidates will need a quiet, dedicated work space with no distractions. Must have an active and unrestricted RN license in the state of Virginia or compact license.

The Case Manager utilizes a collaborative process of assessment, planning, facilitation and advocacy for options and services to meet an individual's 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 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

Shift: M-F 8am-5pm

Equal Opportunity Employer: Race, Color, Religion, Sex, Sexual Orientation, Gender Identity, National Origin, Age, Genetic Information, Disability, Protected Veteran Status, or any other legally protected group status.

At Randstad, we welcome people of all abilities and want to ensure that our hiring and interview process meets the needs of all applicants. If you require a reasonable accommodation to make your application or interview experience a great one, please contact HRsupport@randstadusa.com.


Pay offered to a successful candidate will be based on several factors including the candidate's education, work experience, work location, specific job duties, certifications, etc. In addition, Randstad offers a comprehensive benefits package, including: medical, prescription, dental, vision, AD&D, and life insurance offerings, short-term disability, and a 401K plan (all benefits are based on eligibility).


This posting is open for thirty (30) days.

Job Tags

Temporary work, Work experience placement, Work from home, Shift work

Similar Jobs

AbbVie

Field Reimbursement Manager - Botox Therapeutic Job at AbbVie

 ..., X and YouTube. Job Description This role is field-based and candidates should live within a reasonable distance...  ...,CA San Francisco, CA San Jose, CA The Field Reimbursement Manager (FRM) shares expertise and educates on Medical and Pharmacy... 

Cipla

Manufacturing Technical Associate - MDI 2nd Shift Job at Cipla

 ...those applying for a global assignment and/or for employees working outside of Cipla's US Subsidiaries or Affiliates. Job Title Manufacturing Technical Associate - MDI - 2ndShift Organization Name InvaGen Pharmaceuticals, Inc. Location Fall River, MA Employment Type Full... 

CONA Services

Stocker Merchandiser FARMINGTON (Primary), DESLOGE Job at CONA Services

 ...Join the team at Heartland Coca-Cola Bottling Company! Days/Hours of Work: Full-time Sat,Sun,Wed,Thurs and Fri; 6 am start time Job Summary Merchandisers stock Coca-Cola beverage products in retail accounts. Merchandisers ensure that all beverage sections, end... 

NerdsToGo Bellevue WA

Computer Repair Technician Job at NerdsToGo Bellevue WA

 ...small businesses. We service every type of technology from computers, phones, tablets and printers to networks, internet connections, security and much more! Job Summary ~ The Computer Repair Technician ("Certified Nerd") will complete desktop configurations,... 

Wisconsin State Fair Park

Police Officer Job at Wisconsin State Fair Park

 ...Fair Park (WSFP) is seeking experienced and qualified individuals to serve and protect the WSFP, its employees and patrons as Police Officers within the Police & Public Safety Department of WSFP. The Wisconsin State Fair Park Police Department provides uniformed patrol...