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| Employer Name: NursingCrossing |
SpiderID: 2275159 |
| Location: Portland, Oregon |
Date Posted: 6/12/2008 |
| Wage: |
Category: Nurses/Nurses Aids |
| Job Code: 5363765 |
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Job Description:
These positions are M-F, no weekends or holidays with outstanding benefits. Job Description In this position the Case Manager is responsible for working with members and providers to assess, facilitate, plan and coordinate the delivery of care across the continuum for members with potential risk for high cost and high utilization. - Essential duties include, but are not limited to: Assesses the medical needs and implement a case management program (facilitating, planning and advocating health needs) for targeted members on an individual basis; and develops treatment plan with practitioners, providers, members and support system. -Coordinates the implementation of treatment. Monitors all aspects of the members' medical needs from precertification through discharge planning, as well as the medical necessity of home health care, skilled nursing or hospice services. -Comprehends complex policies and medical criteria as it pertains to member care from pre-admission through discharge. Interfaces with Medical Directors and Physician advisors on development of case management reatment plans. -Solves provider, claims or service issues. Ensures quality member care is provided, identifies treatment delays, and avoidable delays as well as alternative treatment programs or specialty care if mutually beneficial to the member and overall cost of care. -May coordinate for medical service/appointments once discharge is complete and make the necessary community resource referrals. Performs other duties assigned Job Requirements Education, training, experience: Requirements Three plus years in Nursing Preferred BS in Nursing, previous managed care or HMO experience prefered -The candidate will need to possess outstanding clinical skills for all body systems. -Case Management experience is desired, but client is willing to train. -Candidates must have current med/surg, critical care or cardiac care nursing experience, if no case management experience.
For more information, please click here To visit us at NursingCrossing.
For further information, please visit us online at http://www.nursingcrossing.com
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Job Criteria:
Start Date:
Position Type: Full-Time Permanent
Years of Experience Required:
Education Required:
Overnight Travel:
Vacation Time:
Contact Information:
| Contact Name: - |
Company Type: Employer |
| Company: NursingCrossing |
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| City: Pasadena |
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| State: California |
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| Zip: 91101 |
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Web Site: http://www.nursingcrossing.com
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