RN Case Manager

Company: Aerotek
Location: Greensboro
Posted on: January 15, 2022

Job Description:

Actalent is currently seeking a RN case manager.Description:Under the supervision of the Vice President of Utilization Management, the Case Manager will perform outbound phone calls to members who had an emergency room visit, complete a basic questionnaire tool that includes knowledge of / compliance with ER follow up instructions, coordination of PCP appointment, identifying possible barriers and determine if additional referral(s) to care management or the health plan concierges are needed. The Case Manager will identify if immediate intervention is needed based on responses received. The Case Manager will document member outreaches, responses to ER telephone questionnaire, and any follow up referrals made.Additional Skills & Qualifications:

• Must be a registered nurse.
• 3-5 years' of case management experience.
• General knowledge of Medical Management practices and Managed Care principles.
• Prior experience with Post Acute or Home Health is a plus.
• Prior experience with SNF is a plus.Work Environment
  • M-F 8AM to 5PM, 1 hour lunch
  • Will be a remote position
  • Position is currently working remote and doesn't have a true return to office date. Position could be long term WFH position.Skills:Case Manager, Clinical, Medicare, EPIC, Case management, Insurance, Prior authorization, Insurance verification, Managed care, Acute care, Social wor About Actalent:Actalent connects passion with purpose. Our scalable talent solutions and services capabilities drive value and results and provide the expertise to help our customers achieve more. Every day, our experts around the globe are making an impact. Were supporting critical initiatives in engineering and sciences that advance how companies serve the world. Actalent promotes consultant care and engagement through experiences that enable continuous development. Our people are the difference. Actalent is an operating company of Allegis Group, the global leader in talent solutions.The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

Keywords: Aerotek, Greensboro , RN Case Manager, Executive , Greensboro, North Carolina