Case Manager II RN (Laredo, Zapata, Eagle Pass area residents only)

MRI
Laredo, TX, US
Full-time

Job Description

Job Description

Remote Laredo, Zapata, Eagle Pass, and Hebronville area

MUST LIVE IN LAREDO OR SURROUNDING AREAS

Position Purpose : Perform care management duties to assess, plan and coordinate all aspects of medical and supporting services across the continuum of care for select members to promote quality, cost effective care.

Describe the performance expectations / metrics for this individual and their team :

  • Complete all tasks, in-person assessments, mandatory trainings, and any additional outreaches timely to ensure member safety, satisfaction, and needs to meet compliance and contractual requirements.
  • Maintain & promote an all- inclusive environment.

Tell me about what their first day looks like :

  • First day is onboarding in which member has to provide required HR material and register for RUG certification.
  • What previous job titles or background work will in this role?
  • Private duty nursing
  • Home Health

Education / Experience : Graduate from an Accredited School of Nursing. Bachelor’s degree in Nursing preferred. 2+ years of clinical nursing experience in a clinical, acute care, or community setting and 2+ years of case management experience in a managed care setting.

Knowledge of utilization management principles and healthcare managed care. Experience with medical decision support tools (i.

e. Interqual, NCCN) and government sponsored managed care programs.

Licenses / Certifications : Current state’s RN license.

Texas Requirements : Company Description

Company Description

Media Riders Inc is a family-owned Recruitment and Staffing Services company. Providing recruitment and payroll services to our customers, who directly support State and / or Federal funded programs.

We are an SBA certified Women-Owned Small Business (WOSB) and Texas certified Historically Underutilized Business (TxHub).

Company Description

Media Riders Inc is a family-owned Recruitment and Staffing Services company. Providing recruitment and payroll services to our customers, who directly support State and / or Federal funded programs.

We are an SBA certified Women-Owned Small Business (WOSB) and Texas certified Historically Underutilized Business (TxHub).

25 days ago
Related jobs
Promoted
MRI
Laredo, Texas

Remote Laredo, Zapata, Eagle Pass, and Hebronville area**. MUST LIVE IN LAREDO OR SURROUNDING AREAS***. Interqual, NCCN) and government sponsored managed care programs. Current state’s RN license. ...

Promoted
Kinder Hearts Home Health
Laredo, Texas

At Nurses on Wheels, we know that caring for our teammates is the first step in caring for our patients.We are committed to providing life changing services to our patients, their families, and our entire community.We strive to help you balance work and life including flexible scheduling, a supporti...

Promoted
Astella Home Health and Hospice
TX, United States

Acts as Case Manager when assigned by Clinical Supervisor and assumes responsibility to coordinate patient care for assigned caseload. ...

Promoted
Mindlance
TX, United States

Role: Clinical - Care Manager II (RN). Hiring for the Below Service Delivery Area and their respective counties. Hidalgo SDA: Cameron, Duval, Hidalgo, Jim Hogg, Maverick, McMullen, Starr, Webb, Willacy, Zapata. Handing off members to permanent care managers/service coordinators after 15 business day...

Promoted
Prestige Staffing
TX, United States

Month Contract to Hire (W2 only; No H1; No C2C). A minimum of 5 years’ experience as a IT Project Manager. ...

Houston Methodist Clear Lake Hospital
Shoreacres, USA

At Houston Methodist the Case Manager PRN(CM) position is a licensed registered nurse (RN) whocomprehensively plans for case management of a target patientpopulation on a designated unit(s). Identifies whenservices no longer meet InterQual/Millman l criteria initiatesdiscussion with attending physic...

CVS Health
Texas, Work At Home, US
Remote

Community Care Case Manager use a collaborative process of assessment, planning, facilitation, care coordination, evaluation, and advocacy for options and services to meet an individual’s and family’s comprehensive health needs through communication and available resources to promote quality, cost e...

Highmark Health
TX, Working at Home, Texas
Remote

In addition to identifying the appropriate clinical interventions and referrals, the incumbent will manage an active case load of members in his/her panel that are enrolled in case management. Excellent interpersonal/ consensus building skills as well as the ability to work with a variety of interna...

go staffing
Texas

A great group near the Eagle Pass, TX area is seeking a Full-time permanent Family Physician to join their team! . ...

Cuberfeed
Laredo, Texas

If you happen to live in or around Laredo, TX or have the freedom to relocate yourself to Laredo, TX and possess all of the necessary credentials and required experience to fill this position of Care Manager II (RN) $3,000 Sign-On Bonus, please take a few minutes and apply now. Care Manager II (RN)...