Clinical - Care Manager (RN) - J01007 Job at Pacer Group, Nevada

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  • Pacer Group
  • Nevada

Job Description

Position Title: Care Manager RN

Location: Remote

Duration: 6 Months | Possible extension

Schedule: 9:30-6pm EST

Pay rate: XX35.00-45.00XX

Day-to-Day Responsibilities:

Managed assigned worklist as well as pended worklist to make patient outreach providing clinical intervention.

- Take inbound and make outbound calls.

- Work collaboratively with other departments and the physician s office to ensure best patient outcomes.

- Manage emails, messages, and trainings daily.

- Participate in trainings and meetings as needed.

Specialty pharmacy experience

Must be able to manage daily tasks with a high quality of work.

- Goals will be given to the candidate to help them work towards the department s expectations for success.

Must haves: 2+ years of clinical nursing experience in a clinical, acute care, or community setting and 1+ years of case management experience in a managed care setting. Knowledge of utilization management principles and healthcare managed care. Experience with medical decision support tools (i.e. InterQual, NCCN) and government sponsored managed care programs.

Nice to haves: Strong communication skills, Proficient technology skills.

Top skills:

2+ years of clinical nursing experience in a clinical, acute care, or community setting and 1+ years of case management experience in a managed care setting.

Knowledge of utilization management principles and healthcare managed care.

Education/Certification

Required: Associate s degree in nursing

Licensure

Required: Current State s RN license

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