Registered Nurse Case Manager

Established in 2007, Conflux Systems provides unique staffing solutions that bridge the gap between high-end consulting services and offshore development. Conflux Systems originated as a software development and business intelligence firm. Conflux has experienced steady growth over the last fourteen years, outperforming its competitors with fast, cost-effective staffing solutions. Regardless of whether the requirements are onshore or offshore, we employ the same rigorous recruitment strategy to fulfill our client’s needs for software development and other IT staffing requirements.

Here are the job details for your review: Job Title: Nurse Case Manager II Job Location- Remote (Georgia) Duration: 6+ Months Contract (Potential for extension) Pay Rate: $37.14/HR on W2 Shift : Mon - Fri 8am to 5pm EST

The Case Manager utilizes a collaborative process of assessment, planning, facilitation and advocacy for options and services to meet an individual's benefit plan and/or health needs through communication and available resources to promote optimal, cost-effective outcomes. Requires an RN with unrestricted active license in Georgia. 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.