Healthcare Support
HealthCare Support is a national recruitment firm that has a singular focus – placing top talent in the dynamic healthcare industry. We place administrative to executive level professionals in the clinical and non-clinical healthcare arena. Launched in 2002, HealthCare Support has quickly grown to be a leader in the healthcare recruitment field and has access to a proprietary database of over 3.5 million talented candidates. Servicing local providers to national organizations, our delivery model is tailored to meet our client’s unique needs.
HealthCare Support is actively seeking an RN Telephonic Case Manager to fill a remote opening for Managed Care Organization in South Carolina
Clear and active South Carolina RN license Good computer skills – experience working with computer systems, MS office – Outlook, Word, Excel, Teams and EMR's Experience using InterQual Criteria or Milliman Care Guidelines (MCG) to determine medical necessity of lower level of care to transition them to 2+ years of clinical nursing experience, preferably in case management or from hospital setting in case management, ICU or ER Experience with discharge planning (transitioning patients to a lower level of care, ie: from hospital to rehab facility or home) Graduate from accredited school of nursing Clear and active drivers license, reliable transportation and auto insurance
Transition of Care Case Management for Medicaid members, telephonic outreaches to facilities and members. Assist facility staff with discharge planning efforts for members. Outreaches to members after discharge from hospitalizations within 10 business days of discharge. Location: Remote - candidate must live in SC. May need to travel for visits about 25% of the time Shift: M-F 8-5
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