Market leading healthcare organization looking for hybrid RN Case Manager in greater Richmond, VA area! Great opportunity, call us today!
Hybrid role with a blend of working from home and traveling in the field. Candidate must reside in Virginia and will be covering Richmond City, Sandston, Highland Springs, Varina, New Kent or Hanover areas (will be reimbursed for mileage). Duties: Telephonic and Field work. Candidates will need a quiet, dedicated work space with no distractions. Must have an active and unrestricted RN license in the state of Virginia or compact license. The Case Manager utilizes a collaborative process of assessment, planning, facilitation and advocacy for options and services to meet an individual's benefit plan and/or health needs through communication and available resources to promote optimal, cost-effective outcomes. Requires an RN with unrestricted active license Through the use of clinical tools and information/data review, conducts comprehensive assessments of referred member's needs/eligibility and determines approach to case resolution and/or meeting needs by evaluating member's benefit plan and available internal and external programs/services Application and/or interpretation of applicable criteria and guidelines, standardized case management plans, policies, procedures, and regulatory standards while assessing benefits and/or member's needs to ensure appropriate administration of benefits Utilizes case management and quality management processes in compliance with regulatory and accreditation guidelines and company policies and procedures Shift: M-F 8am-5pm Equal Opportunity Employer: Race, Color, Religion, Sex, Sexual Orientation, Gender Identity, National Origin, Age, Genetic Information, Disability, Protected Veteran Status, or any other legally protected group status. At Randstad, we welcome people of all abilities and want to ensure that our hiring and interview process meets the needs of all applicants. If you require a reasonable accommodation to make your application or interview experience a great one, please contact HRsupport@randstadusa.com....serving cancer patients through our partnership with "Cleaning for a Reason" Qualifications for a Great Team Member Must be 18 years of age or older Availability to work Monday through Friday, 7:45 am to 5 pm Must have a personal vehicle, driver's license,...
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