Nurse Reviewer/ Telephonic Case Manager
Location: Las Vegas, Nevada
Description: Genex is employing Nurse Reviewer/ Telephonic Case Manager right now, this occupation will be placed in Nevada. For detail informations about this occupation opportunity please read the description below. GENEX Services, Inc. (www.genexservices.com) is the industry’s largest provider of case management services. GENEX offers premium cost-containment and fully integrated care management services in the occupational, auto and group healthcare markets. Our 2,700 medical and business professionals provide comprehensive care solutions to clients from 120 locations throughout the United States, Puerto Rico and Canada.
We are currently seeking a Nurse Reviewer/ Telephonic Case Manager (RN) for our Utilization Management department in the Las Vegas, NV area.
GENEX offers a comprehensive compensation and benefits program including a competitive salary and incentive program, medical, dental, life and LTD insurance, 401 (k) with company match and 100% vesting after 90 days of employment and a Continuing Education Program accredited by CCM, CRC and CDMS.
Responsibilities:
Provision of comprehensive Utilization Management, incorporating the strategies of cost containment, appropriate utilization of services and Case Management in a cooperative effort with other parties which helps address the issues of access to quality healthcare services at an affordable cost. Responsible for the performance of Utilization Review services, including pre-admission certification, second surgical opinion, concurrent utilization review, DRG validation, as well as assessment, planning, coordination, implementation and evaluation of injured/disabled individuals involved in the medical case management process. Working as an intermediary between carriers, attorneys, medical care providers, employers and employees, you will closely monitor the progress of the injured worker and report results back to the employer and insurance carrier. This will ensure appropriate and cost-effective healthcare services leading to a medically rehabilitated individual who is ready to return to an optimal level of work and functioning.
Qualifications:
Diploma, A.S. degree or B.S. degree in nursing required. 3-5 years clinical nursing experience required. Utilization Review/ Case Management and/or Workers’ compensation-related experience strongly preferred. Registered nurse with current, valid state licensure required. Certification as a Case Manager preferred or willing to pursue certification upon eligibility. Must have a valid driver’s license. Excellent interpersonal skills, phone manners and organizational skills are essential. Must be proficient in Microsoft Office suite with such programs as Word and Excel as well as have experience with internet searches and a comfort level with other software programs. Ability to set priorities and work independently is essential. Spanish speaking ability a plus!
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If you were eligible to this occupation, please give us your resume, with salary requirements and a resume to Genex.
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This occupation starts available on: Tue, 28 Aug 2012 20:14:38 GMT
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