The RN Case Manager utilizes a collaborative process to plan and evaluate healthcare options using Interqual and Milliman Care Guidelines
Job Summary
The RN Case Manager utilizes a collaborative process to plan and evaluate healthcare options using Interqual and Milliman Care Guidelines.
This role ensures cost-effective utilization of resources while facilitating quality patient care and effective communication among the healthcare team.
Candidates must be familiar with community resources and charitable organizations to assist patients throughout the continuum of care.
Matching Summary
The RN Case Manager utilizes a collaborative process to plan and evaluate healthcare options using Interqual and Milliman Care Guidelines.
Skills & Requirements
Must-have
Interqual and Milliman Care Guidelines
Electronic medical records navigation
Discharge planning and case management
Nice-to-have
Bilingual communication skills
Community resources knowledge
Adaptability to changing environments
Key Requirements
Current Texas RN license required
Associate degree in nursing required
Three years experience in case management or utilization review
Basic Life Support (BLS) certification within 30 days