Job Title: Nurse Case Manager II - Virginia

Job Location: Will consider outside of VA if:
1. they have a compact or VA RN license.
2. they must reside in the EST time zone.

Must reside in one of these cities:

Falls Church
Annandale
Springfield
Arlington
Alexandria

Schedule : M-F 8am-5pm EST, Contract: 6 months

Pay Rate: $ 45.00/ W-2

Skills needed

They are required to have a private office space free of any distractions due to HIPPAA Compliance.
Must have experience working a remote position previously.
Must have case management experience
RN license for VA or Compact license if outside of VA state

About Company
Since its Founded in 1996, CTC began as an IT organization and has evolved over nearly 30 years into a multidisciplinary solutions partner. CTC took our expertise to the next level by adding healthcare staffing and technology, forming CTC Medisource.CTC Medisource is a reliable partner that assists healthcare organizations in sourcing quality talent to improve the patient experience, scale the workforce, and increase operational performance. Headquartered in Detroit, Michigan, with a global team of more than 2,000 professionals, we bring deep expertise across Healthcare Staffing, AI & ML, Enterprise Applications, Digital Health, Managed Services, and Business Services.

Duties

Through the use of clinical tools and information/data review, conducts comprehensive assessments of referred member's needs/eligibility and determines approach to case resolution and/or meeting needs by evaluating member's benefit plan and available internal and external programs/services
Application and/or interpretation of applicable criteria and guidelines, standardized case management plans, policies, procedures, and regulatory standards while assessing benefits and/or member's needs to ensure appropriate administration of benefits
Utilizes case management and quality management processes in compliance with regulatory and accreditation guidelines and company policies and procedures

Experience :

3 years Clinical practice experience, e.g., hospital setting, alternative care setting such as home health or ambulatory care required.
Healthcare and/or managed care industry experience.
Case Management experience preferred.
Position requires proficiency with computer skills which includes navigating multiple systems and keyboarding
Effective communication skills, both verbal and written.
Ability to multitask, prioritize and effectively adapt to a fast paced changing environment
Sedentary work involving periods of sitting, talking, listening.
Work requires sitting for extended periods, talking on the telephone and typing on the computer.
Work requires the ability to perform close inspection of hand written and computer generated documents as well as a PC monitor.
Typical office working environment with productivity and quality expectations.

Education :

Bachelor’s of Science in Nursing

Pay: $45.00 per hour

Benefits:

Dental insurance
Vision insurance

Experience:

Case management: 3 years (Required)
Clinical-Home Health /Ambulatory: 3 years (Required)

License/Certification:

RN license for VA state or must have a compact license (Required)

Work Location: In person

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