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RN Case Manager

Conquest Healthcare

Requirements:

  • 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
  • Communicate with patients, physicians and insurance companies to secure successful outcomes

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
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