RN Case Manager - Advanced Review

Location
Virginia Beach, VA
Posted
Oct 05, 2017
Closes
Jan 15, 2018
Function
Management, Nurse
Industry
Healthcare
Hours
Full Time
Job Description:
Optima Health is seeking a experienced RN to join our Research and Commercial Authorizations team with emphasis in our Individual Product Services. While in this role the RN will serve in a second level, advanced review capacity. This position is full time, not-remote, located in Virginia Beach, VA.

Responsible and accountable for the provision and facilitation of comprehensive care coordination services and quality outcomes for patients across the continuum. Promotes effective utilization and monitoring of health services, collaborates and communicates with the healthcare team and patient/caregiver to manage care and transitions. Develops and/or implements a comprehensive care plan based on assessment and evaluation of patient/caregiver needs. Functions in one of the following practice settings: Acute Care, Service Lines, Ambulatory/Community-based, Home Health, and Long Term Care.

Education Level
RN-Bachelor's Level Degree

Experience
Required: Nursing - 1 year

Preferred: None, unless noted in the “Other” section below

License
Required: Basic Life Support, Registered Nurse

Preferred: None, unless noted in the “Other” section below

Skills
Required:

Preferred: None, unless noted in the “Other” section below

Other
BLS (if in a clinical setting). 1 year ¿ Nursing ¿ directly working with individuals who meet the long term and support services population criteria. For Integrated Care Management departments, specialty certification required within one year of eligibility (ACM, CCM, CCCTM or RN-BC). For other service lines, certification based on specialty area required within one year of eligibility. 3 years Case Management experience preferred.

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