Job Description

9286
Case Manager(RN)
Health Care
Miami
Florida

KNOWLEDGE AND SKILLS REQUIRED:

  • Knowledge of Dual Eligible Special Needs Plans, Centers for Medicare and Medicaid Services (CMS), and Florida Medicaid
  • Understanding of Case Management best practices
  • Understanding of medical necessity for appropriate patient status and level of care
  • Strong verbal and electronic communication skills
  • Supports positive employee relations and customer experience
  • Understanding of Microsoft Office Products and other appropriate software platforms
  • Ability to work autonomously with self-direction
  • Ability to lead and sustain change

EDUCATION AND EXPERIENCE REQUIRED:

  • Registered Nurse
  • 2-5 years of (or above) experience in Care Management
  • Problem solving proficiency; the ability to systematically analyze problems, draw relevant conclusions and devise appropriate courses of action.
  • Process/systems skills with the ability to work with data for data-driven decision making and process improvements.
  • Medicare and/or Medicaid managed care experience
  • Bilingual (English/Spanish)

LICENSURE, CERTIFICATION OR REGISTRATION REQUIRED:

· Florida State RN license

 

Job Type: Full-time

 

Benefits:

  • 401(k) matching
  • Dental insurance
  • Health insurance
  • Life insurance
  • Paid time off
  • Vision insurance

Physical setting:

  • Office

Schedule:

  • 8-hour shift
  • Monday to Friday
  • Rotating on call-weekends.

Work Location: In person.


Application Instructions

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