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Inpatient Care Management Nurse RN – Remote - Remote Eligible

Collaborate with healthcare professionals to optimize inpatient care plans and discharge processes.
Remote
Mid-Level
$58,300 - 114,300 USD / year
3 weeks ago
Optum

Optum

We’re a leading health solution and care delivery organization

✨ About The Role

- The role involves performing initial and concurrent reviews of inpatient cases using evidence-based criteria. - Collaboration with facility healthcare professionals to obtain plans-of-care is a key responsibility. - The position requires participation in discussions with the Clinical Services team to improve care progression. - Candidates will consult with Medical Directors for complex cases and manage care delays effectively. - Maintaining compliance with Federal, State, and accreditation organizations is crucial in this role.

⚡ Requirements

- A current and unrestricted Compact RN license is essential for this role. - Candidates should have at least 3 years of clinical nursing experience in settings such as Acute Inpatient, SNF/AIR/LTAC, or Emergency Department. - Experience with utilization review and evidence-based guidelines, specifically MCG and InterQual Guidelines, is required. - Proficiency in computer skills, including Microsoft Suite and clinical platforms, is necessary for effective case management. - A Bachelor’s degree and certification in Case Management (CCM) are preferred qualifications that can enhance a candidate's profile.
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Inpatient Care Management Nurse RN – Remote - Remote Eligible
Remote
$58,300 - 114,300 USD / year
Registered Nurse
About Optum
We’re a leading health solution and care delivery organization