RN Care Management Coordinator #36314
72% Flex
Remote: Full Remote
Work from: United States
Offer summary
Qualifications: LCSW, LMFT, LPC or Active PA Licensed RN; BSN Preferred, 3+ years Behavioral Health clinical experience in healthcare setting, Behavioral Health utilization management experience preferred, Medical management/precertification experience desirable, Knowledge current trends of medical practice.
Key responsabilities:
- Evaluate members' behavioral health condition and medical records
- Collaborate with providers, clarify treatment plans, and identify medical necessity
- Conduct early identification of discharge planning needs and report utilization trends
- Ensure compliance with regulations and document all key functions
- Maintain system integrity through data entry and additional assigned duties
Contemporary Staffing Solutions
Human Resources, Staffing & RecruitingSMEhttp://www.contemporarystaffing.com/
501 - 1000 Employees
aboutContemporary Staffing Solutions
Job description
Required profile
Experience
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Soft Skills
- Excellent communication and interpersonal skills
- Proactive task prioritization to achieve results in remote environment
- Strong team player building rapport across departments, flexible and adaptable to change
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