A-Line Staffing is actively searching for Multiple REMOTE Registered Nurses in Michigan. This is an exciting opportunity with a client that is looking to move fast for the right candidate. Please contact Brad Zidek at for immediate consideration. Or call at .
Description:
No in person visits for this role. Priority given to MI residents, but must have a MI RN 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
Qualification
Rating
Must Have
Verifyable High School Diploma or GED Required
Duties
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