Nurse Case Manager I (RN license)
BC Forward

Job Info

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Nurse Case Manager I (RN license)BCforward is currently seeking highly motivated Nurse Case Manager I (RN license) for an opportunity - 100% Remote (GA).Job Title: Nurse Case Manager I (RN license)
Location: 100% Remote
Duration: 5 Months ContractAnticipated start date: ASAP Responsible for performing care management within the scope of licensure for members with complex and chronic care needs by assessing, developing, implementing, coordinating, monitoring, and evaluating care plans designed to optimize member health care across the care continuum. Performs duties telephonically or on-site such as at hospitals for discharge planning. Primary duties may include, but are not limited to:

• Ensures member access to services appropriate to their health needs.
• Conducts assessments to identify individual needs and a specific care management plan to address objectives and goals as identified during assessment.
• Implements care plan by facilitating authorizations/referrals as appropriate within benefits structure or through extra-contractual arrangements.
• Coordinates internal and external resources to meet identified needs.
• Monitors and evaluates effectiveness of the care management plan and modifies as necessary.
• Interfaces with Medical Directors and Physician Advisors on the development of care management treatment plans. Negotiates rates of reimbursement, as applicable. Assists in problem solving with providers, claims or service issues.

Requires a BA/BS in a health-related field.3 years of clinical experience; or any combination of education and experience, which would provide an equivalent background.Current, unrestricted RN license in applicable state(s) required.Multi-state licensure is required if this individual is providing services in multiple states. Certification as a Case Manager is preferred. For URAC accredited areas the following applies:5 years of experience, certification as a Case Manager from the approved list of certifications, and a BS in a health or human services related field preferred.
About BCforward:
BCforward began as an IT business solution and staffing firm. Founded in 1998, BCforward has grown with our customers' needs into a full-service personnel solution's organization. Headquartered in Indianapolis, Indiana, BCforward also operates numerous delivery centers across North America and India. We are currently the largest consulting firm and largest MBE certified firm in Indiana. Our uninterrupted growth has allowed BCforward to deliver uniquely configured IT staffing and project solutions for over the years of catering to our customers' specific needs. BCforward currently maintains a team of over 5000 global resources. With our additional brand, Stafforward, together we have the capabilities to deliver services for a variety of industries in both public and private sectors which allows us to address your most challenging needs.
www.BCforward.com

Interested candidates please send resume in Word format Please reference job code 155615 when responding to this ad.

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