Offer summary

Qualifications:

Registered Nurse (RN) license required., Experience in case management or patient assessments preferred., Strong communication and documentation skills., Knowledge of insurance processes and healthcare regulations..

Key responsibilities:

Assess patient needs using clinical tools and data.

Develop individualized treatment and case management plans.

Communicate with patients, physicians, and insurance companies.

Document medical information and ensure compliance with regulations.

Job description

Responsibilities for Registered Nurse Case Manager

Use clinical tools, data and other information to complete assessments of patient needs
Create individualized and comprehensive case management and treatment plans
Determine insurance eligibility for various treatments and treatment programs
Clearly explain the reason for prescribed treatments and treatment plans to patients
Educate patients on benefits, services and other resources, including payment options
Communicate with patients, physicians and insurance companies to secure successful outcomes
Document complex medical information to outline and improve health results
Follow case and quality management processes in compliance with regulatory guidelines and company procedures

Required profile