applicant
Case Manager - Concurrent Review (MA-CT-0961) - Boston, MA 02108
at Health Career Professionals, LLC in Boston, MA
One of America's premiere managed Medicaid companies has created a ground-floor career opportunity. This is a chance to join a major corporation, yet still impact the daily care of the neediest people. Based near Boston, MA you'll enjoy office hours in a comfortable, modern office setting, a comprehensive corporate benefits plan, a competitive salary with bonus, and the knowledge that you are impacting the quality of care for thousands of people daily. Review inpatient admissions to assure appropriate level of care and medical necessity. Review admissions through on-site and telephonic review to ensure medical necessity and appropriate level of care. Act as clinical resources to referral staff and make appropriate referrals. Provide patient and provider education. Data enters assessments, authorizations and reviews into the system. THIS position will work partially in the office and partially on-site at the hospitals.REQUIREMENTS:Min 2 yrs clinical exp, RN, strongly prefer managed care, UM certification is a plusTHE COMPANY:Health Career Professionals, LLC is a health care staffing and recruiting company who provides professional services to health care workers and companies. Our clients are national and regional health care plans who seek the services clinical and operational professionals in contract, interim, and permanent positions.By applying to this position you are agreeing to receive additional information from our firm and our periodic email newsletter about new opportunities and career information. Your personal information is NEVER released to any third parties.
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