Location:Medical Center - Fort WorthDepartment:Case ManagementShift:First Shift (United States of America)Standard Weekly Hours:20Summary:The RN Case Manager (Nex) uses a collaborative process to plan, assess, implement, monitor and evaluate the options and services required to meet the healthcare needs of the patients using the functions of Utilization Review using Interqual and Milliman Care Guidelines, Discharge Planning and Case Management in order to facilitate: (1) quality of patient care; (2) cost effective utilization and outcome management; (3) communication between patients, families, and members of the health care team; (4) expedition of the movement of patients through appropriate levels of care; and (5) information gathering for Quality & Risk Management utilizing Joint Commission Accreditation of Healthcare standards and clinical indicators....

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Want more jobs like this?GetjobsinRaleigh, NCdelivered to your inbox every week. Want more jobs like this? GetjobsinRaleigh, NCdelivered to your inbox every week. Get Jobs This RN Case Manager role is part of Aetna One Advocacy (A1A) and requires in office training and ongoing work in High Point, North Carolina . There is a requirement to live within a commutable distance of High Point, North Carolina (typically within 45 minutes maximum)....

Want more jobs like this?GetjobsinPhoenix, AZdelivered to your inbox every week. Want more jobs like this? GetjobsinPhoenix, AZdelivered to your inbox every week. Get Jobs Once office training is complete, the role is work from home with occasional in office workdays scheduled in advance with the employee.There will be an expectation that the Case Manager works in the office at least one time per quarter for further training but it may be more often, and notice will be provided....

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