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Care Management Nurse

Job Attributes

Job Id:

19811

Job Category:

Clinical & Life Sciences

Job Location:

Durham, NC  27707

Security Clearance:

No Clearance

Business Unit:

Piper Companies

JOB DESCRIPTION

Piper Clinical Solutions is currently seeking a CARE MANAGEMENT NURSE in Durham, NC. This individual will be supporting a national and well-respected health insurance organization to advocate for cost-effective care for members.  The care management nurse will be working on-site, providing telephonic care for health insurance members.

 

Responsibilities for the CARE MANAGEMENT NURSE

  • Advocate for members by ensuring medical procedures are both necessary and cost-effective
  • Ensure providers are providing high-quality care for various medical procedures for member protection and advocacy
  • Performance of medical reviews from procedures to effectively coordinate delivery of care across the health care system
  • Provide thorough understanding of health care member benefits to provide guidance and expertise throughout the process of receiving benefits

Qualifications of the CARE MANAGEMENT NURSE

  • 2+ years of experience in critical care, hospital floor, emergency room, or otherwise fast-paced medical environment
  • Experience and proficiency working within various medical programming
  • Active RN (registered nurse) or LPN (licensed practical nurse)
  • Associate’s degree in Nursing

Compensation for the CARE MANAGEMENT NURSE

  • Up to $70,000, commensurate with experience
  • Benefits: Full benefits including Health, Dental, Vision, PTO, Paid Holidays, 401k plan

 

Please send all resumes to Michael Epstein at mepstein@pipercompanies.com

 

Keywords: care management nurse, utilization review, health planning, patient discharge, case review, interqual, Milliman, registered nurse, RN, inpatient, outpatient, intake, nursing, hospital, johns Hopkins, acute care, medical terminology, health care, health insurance, case management, utilization review nurse, paid time off, pto, 401k, medical, dental, vision, paid holidays

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Job Id:

19811

Job Category:

Clinical & Life Sciences

Job Location:

Durham, NC  27707

Security Clearance:

No Clearance

Business Unit:

Piper Companies