RN Case Manager / Utilization Review Nurse

Are you an experienced RN Case Manager / Utilization Review Nurse looking for a new opportunity with a prestigious healthcare company? Do you want the chance to advance your career by joining a rapidly growing company? If you answered “yes" to any of these questions – this is the position for you!

Daily Responsibilities: 

• The Case Manager will be responsible for identification, screening, assessment, planning, implementation, coordination, monitoring and evaluation health care services provided to the high risk population

• Completes assessment of identified patients through review of past utilization, discussions with the primary care physician and specialists and evaluation of the patient

• Identifies member needs as well as barriers to care and available resources, maintaining the patient in the least restrictive, most cost/quality efficient environment possible

• RN Case Managers gather member data