Case Manager II
Location: Baton Rouge Louisiana
Description: Centene Corporation is employing Case Manager II right now, this career will be placed in Louisiana. For complete informations about this career opportunity kindly see the descriptions. Registered Nurse. Perform collaborative duties to assess, plan and coordinate continuum of care for select members with complex medical or behavioral health conditions or are at high risk in order to promote quality, cost effective care.
Position Responsibilities:
- Advanced review of admissions through on-site and telephonic review to ensure medical necessity and appropriate level of care.
- Develop, assess and adjust as necessary the care plan and promote desired outcome.
- Coordinate services between Primary Care Physician (PCP) specialist, and other medical and non-medical ! providers as necessary to meet the complete medical socio econ! omic needs of clients. Participate in face to face visits with high risk members at point of service as needed.
- Provide patient and provider education.
- Identify related risk management quality concerns and report these scenarios to the appropriate resources.
- Data enters assessments and authorizations into the system.
Knowledge/Experience:
2+ years of clinical nursing or case management experience. 2+ years of related experience in managed care environment.
Licenses/Certifications:
Current state’s RN license. Current state driver’s license. CCM (Certified Case Manager) or other clinical certification preferred.
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If you were eligible to this career, please email us your resume, with salary requirements and a resume to Centene Corporation.
If you interested on this career just click on the Apply button, you will be redirected to the official website
!This career starts available on: Fri, 06 Dec 2013 07:04:58 GMT
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