Nurse Case Management Senior Analystw3r Consulting • El Paso, TX, United States
Nurse Case Management Senior Analyst
w3r Consulting • El Paso, TX, United States
[job_card.30_days_ago]
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- [job_card.full_time]
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Description
- Delivers specific delegated tasks assigned by a supervisor in the Nurse Case Management job family.
- Plans, implements, and evaluates appropriate health care services in conjunction with the physician treatment plan.
- Utilizes clinical skills to assess, plan, implement, coordinate, monitor and evaluate options and services in order to facilitate appropriate healthcare outcomes for members.
- Ensures that case management program objectives are met by evaluating the effectiveness of alternative care services and that cost effective, quality care is maintained.
- Provides clinical assessments, health education, and utilization management to members.
- Performs prospective, concurrent, and retrospective reviews for inpatient acute care, rehabilitation, referrals, and select outpatient services.
- Manages own caseload and coordinates all assigned cases.
- Completes day-to-day Nurse Case Management tasks without immediate supervision, but has ready access to advice from more experienced team members.
- Tasks involve a degree of forward planning and anticipation of needs/issues. Resolves non-routine issues escalated from more junior team members.
- RN and current unrestricted nursing license required.
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Nurse Case Management Senior Analyst • El Paso, TX, United States