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Registered Nurse RN Case Manager - Top Pay

Company: Horizon Healthcare Staffing
Location: Jersey City
Posted on: March 17, 2019

Job Description:

We are seeking a full time LPN/RN Case Manager to work in Newark, NJ for an insurance review company specializing in medical and disability management. The position is Monday - Friday 8-4pm . Responsibilities: Evaluate files assessing injury/disability severity, comorbids, treatment plans, functional abilities physical job requirements and case specific target return to work dates. Evaluate treatment plans case by case according to evidence based medicine guidelines, making appropriate recommendations for use of resources to move the file forward. Engaged with providers to optimize care. Work to support files in NJ Works with Physicians, Nurse Practitioners and patients to resolve questions concerning medications, health education, and medical advice within the skill level and scope of practice. Provide initial intake, triage with vitals and health concerns Works with all providers and patients to assess the urgency of patient problems. Assists the patient by acquiring the appropriate appointment as needed. Records and maintains complete and accurate records of patient and provider communications regarding medical care and prescriptions. Retrieves messages from phone mail in a timely manner and responds to patient needs according to medical priority. Works with all providers to assist in pre -authorizing needs for medications, processing and verifying all medication refills Documents all phone calls on call log and making sure they are transferred over to Electronic Health record. Follows through in a timely manner to all provider and patient requests. Qualifications: Must be computer proficient and experience with an EMR is a must. RN/LPN License in New Jersey Effectively managed caseload of medical/disability files within company and regulatory guidelines. Interacting with physicians, adjustors, injured employees and employers to assess, strategize and manage medical and disability exposure and return to work. Successfully worked with new initiative Right Expert Right Outcome. Communicated regularly with stakeholders to provide status updates. Adept use of ExPRS electronic records. Consistently maintained quality file reviews - standard or above standard. Call 844-212-7716 or Apply Online Today

Keywords: Horizon Healthcare Staffing, Jersey City , Registered Nurse RN Case Manager - Top Pay, Executive , Jersey City, New Jersey

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