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RN Case Manager

Location : Boone/McHenry County, IL
Job Type : Contract
Reference Code : 19530
Hours : Full Time
Required Years of Experience : 1-3
Required Education : Bachelor's degree in Nursing or Masters degree in Social Work, or Health Education
Travel : No
Relocation : No
Job Industry : Healthcare - Health Services
Job Category : Healthcare - RNs & Nurse Management

Job Description :

Our client, a major Health System, is seeking a Case Manager in Boone or McHenry County, IL!! **Please Note: position is remote/telephonic to start, however, candidate must be located in Boone or McHenry County, IL - Will need to conduct home visits once field business resumes.


 


Shift: 8:30a-5p




Case Manager Job Responsibilities:


Works with the Utilization Management team primarily responsible for inpatient medical necessity/utilization review and other utilization management activities aimed at providing members with the right care at the right place at the right time. Provides daily review and evaluation of members that require hospitalization and/or procedures providing prior authorizations and/or concurrent review.


Required Qualifications :
 

Case Manager Job Requirements:



  • 1-2 years of hospital-based clinical experience AND case management experience

  • Knowledge of ICD-9, CPT coding and HCPC

  • Illinois State RN, or LMSW/ LMHC


 


For immediate consideration, please email updated resume to cfattizzo@mednationalstaffing.com


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