Remote Case Manager/UM Human Resources (HR) - Durham, NC at Geebo

Remote Case Manager/UM

Piper Companies is currently seeking a Case Manager/UM Nurse for a remote opportunity within a health insurance organization.
The Case Manger/UM Nurse will be serving as an essential bridge between health care and medical coverage.
Responsibilities of the Remote Case Manager/UM Nurse:
Responsible for performing medical reviews to assess, and coordinate quality care for patients Determine medical necessity utilizing MCG criteria and medical policy/contractual benefits.
Coordinate with patients and providers to produce high quality care Qualifications of the Remote Case Manager/UM Nurse:
RN or LPN- North Carolina license 3
years of clinical experience, inpatient, ER/emergency clinical experience Case Management experience Utilization Management experience Compensation for the Remote Case Manager/UM Nurse:
Annual Salary Range:
$32-37/hr Comprehensive
Benefits:
Medical, Dental, Vision, 401k Skills:
RN, LPN, registered nurse, ER, Inpatient, emergency room, case management, CM, Care Management, Case Manager, utilization management, UM, MCG, Medical Necessity Recommended Skills Case Management Clinical Works Medical Emergency Utilization Management Medical Necessity Estimated Salary: $20 to $28 per hour based on qualifications.

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