Medical Case Manager - Rn

Case Management is an advanced specialty collaborative practice, responsible for providing ongoing case management services for the Health Plan’s members. The Medical Case Manager will facilitate communication and coordination amongst all participants of the health care team and the members to ensure that the services are provided to promote quality, cost-effective outcomes. The incumbent provides case management intervention on behalf of members with short term, stable, and predictable courses of illnesses. The incumbent is also responsible for answering the medical appropriateness, quality, and cost effectiveness of proposed hospital/medical/surgical services in accordance with established criteria. This activity may be conducted prospectively, concurrently or retrospectively.
Employment Type: Contractor
Salary: $ 37.00 57.00 Per Year