Nurse Manager Health Case Management Services
Location: Baton Rouge! Louisiana
Description: Andrews and Associates is currently interviewing Nurse Manager Health Case Management Services right now, this vacancy will be placed in Louisiana. Further informations about this vacancy opportunity please give attention to these descriptions. Situated on the Mississippi River, Baton Rouge represents the best of Louisiana's vibrant culture. The state capitol, Baton Rouge is a thriving city that is home to both LSU and Southern University and numerous businesses and industrial facilities. Known for its great people, its unique food and its lively music, Red Stick has something for everyone - including a local government that cares.
IF YOU HAVE PASSION FOR HIGH QUALITY HEALTHCARE COME JOIN OUR TEAM!
MAKE A DI! FFERENCE!
You've put years of hard work, education an! d training into establishing a great career for yourself. Your compassion and commitment to quality care have placed you among the best in the profession. Now it's time to enjoy the incomparable rewards of a career with us.
We are seeking an experienced Nurse Manager Health Case Management Services. Must have Associate’s Degree in related Health/Nursing/Social Work field. Prefer Bachelor’s Degree in related Health/Nursing/Social Work field. Prefer Certified Case Manager or Certified Utilization Review Professional.
Minimum of five (5) years experience in Case Management and at least one (1) year of leadership/management experience in Case Management.
You will be responsible for providing clinical supervision to a team responsible for coordinating member service, utilization, access, and concurrent review to ensure cost effective care management, utilization of health, mental health, and substance abuse services.
Responsibilities:
1. Manages and oversees teams responsible for various HCMS functions including utilization management, case finding and coordinating those cases that involve co-morbid conditions and need to be part of the case management/disease management track.
2. Responsible for coordination and service delivery to include member assessment of physical and psychological factors.
3. Works with providers to establish short and long term goals that meet the member’s need, functional abilities and referral sources requirements.
4. Communicates care plan objectives utilizing community resources to individuals, departments, and providers identified as having a role in the care of members.
5. Coordinates the identifications of members with potential for high risk complications; assesses members’ present level of physical/mental impairment utilizing defined criteria and methodology.
6. Demonstrates understanding of the physical and psychol! ogical characteristics of illness, disabilities and wellness and makes ! referrals when appropriate.
7. Review benefit systems and cost benefit analysis.
8. Evaluates the member against level of care criteria.
9. Acquires data and evaluates necessary medical, mental health and substance abuse service for cost containment.
We offer a competitive total compensation package including base salary and bonus. In addition, we have comprehensive benefits package including medical, dental, vision, disability, life and a 401(k) plan. We offer outstanding benefits such as continuing education reimbursement, continuing education days, and Paid Time Off.
Go to www.qaijobs.com or email qai@austin.rr.com!
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If you were eligible to this vacancy, please email us your resume, with salary requirements and a resume to Andrews and Associates.
If you interested on this vacancy just click on the Apply button, you will be redirected to the official website
This vacancy starts available on: Thu, 28 Nov 2013 17:50:15 GMT
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