About this opportunity
Iconma,-Llc. lists this RN Case Manager opportunity in virginia, Minnesota. Review the employer’s description below for duties, qualifications and application requirements.
Job description
Up to $44.14 per hour Fairfax County, VA Onsite
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Job Description
Our Client, a Retail Pharmacy, is looking for a RN Case Manager to work in Fairfax County, VA (Arlington, Falls Church, Vienna or Annadale).
Responsibilities:
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.
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
Requirements:
3 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
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
Requires an RN with unrestricted active license in the state of VA or a compact license.
Case Management Certification CCM preferred.
Why Should You Apply?
Health Benefits
Referral Program
Excellent growth and advancement opportunities
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ICONMA is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to any status protected by applicable law. Additional employment notices are available at: Workforce Compliance
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Worksite address
virginia, MN, 55792, US
Who can apply
Review the original listing for work authorization, qualifications and employer requirements.