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Case Manager - Special Care Unit - Pedia
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Applicant Category: Professional
Requisition Code: Work at Home
Two Initials of Recruiter: WH
System Date: 12/01/2006
System Time: 10:54:53
Document Name(40): Case Manager - Special Care Unit - Pedia
Source: Philly.com
SearchTerms: "work at home" "work from home"
URL(80): http://www.careerbuilder.com/JobSeeker/Jobs/JobDetails.aspx?sc=&CiBookMark=1&sd=
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Company: Judge Group, Inc. .
Location: US-PA-Philadelphia .
Base Pay: $50,000.00 - $55,000.00 /Year .
Employee Type: Full-Time Employee .
Industry: Healthcare - Health Services .
Manages Others: no .
Job Type: Health Care
Nurse .
Req'd Education: 2 Year Degree .
Req'd Experience: At Least 3 Years .
Req'd Travel: None .
Relocation Covered: No .
Posted Date: 11/19/2006 .
Contact: Dana Mercaldo Phone: 610-617-1534 .
Email: Send Email Now Fax: Not Available
Ref ID: Not Available .
DESCRIPTION .
The Special Care Unit Case Manager is responsible for identifying members who will benefit from care coordination services, perform a comprehensive assessment, and develop the patient's interdisciplinary individualized plan of care including short term and long term goals
- They will monitor and evaluate the member's progress towards meeting the goals and initiates appropriate interventions as necessary
- They will serve as an advocate for the member and act as a liaison between the member and other community based agencies, facilities, providers, and practitioners in coordination the member's care.
- They will assess and plan for medical necessity requests for outpatient services assuring that hospital discharge needs and non-acute services are appropriately provided/delivered to the members.
- Assumes a leadership role in monitoring appropriate utilization of the member's benefits and in coordinating with other payer sources.
- Understands, supports, and practices within the scope of the State of Pennsylvania Nurse Practice Act and the Case Management Practice Standards established by the Case Management Society of America
* Deals with chronically ill pediatrics
* Permanent position
* Day shifts: 8:30am - 5:00pm or 9:00am - 5:30pm
* May be able to work from home
* Excellent benefits .
REQUIREMENTS .
* Must have RN license in PA
* 3+ years of clinical experience and/or case management experience
* Pediatric, Utilization Review, and/or Managed Care experience preferred
* Will be eligible to obtain a CCM within 1 year of employment
Please send resume to [Click here for email]
Only qualified candidates will be contacted .
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