Episodic Care Manager
E-Verify Program
full-time
Posted on:
Location Type: Remote
Location: North Carolina • United States
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Salary
💰 $73,698 - $117,917 per year
About the role
- Perform clinical reviews to assess, facilitate, and coordinate the delivery of health care services
- Review and evaluate cases for medical necessity against medical policy, benefits and/or care guidelines and regulations
- Communicate and collaborate effectively with internal and external clinical/non-clinical staff
- Appropriately and fully document outcome of reviews and demonstrate the ability to interpret and analyze clinical information
Requirements
- RN with 3 years of clinical experience or LPN with 5 years of clinical experience
- Must have and maintain a valid and applicable clinical license (NC or compact multi-state licensure) to perform described job duties
Benefits
- Work-life balance, flexibility, and the autonomy to do great work
- Medical, dental, and vision coverage along with numerous health and wellness programs
- Parental leave and support plus adoption and surrogacy assistance
- Career development programs and tuition reimbursement for continued education
- 401k match including an annual company contribution
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
clinical reviewsmedical necessity evaluationcase assessmenthealth care service coordinationclinical information analysisdocumentation of reviews
Soft Skills
communicationcollaborationinterpersonal skillsanalytical skills
Certifications
RN licenseLPN licenseNC licensurecompact multi-state licensure