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RN Case Manager (Remote, Wyoming) - Full-time / Part-time
•30 days ago
| Hours | Full-time, Part-time |
|---|---|
| Location | Cheyenne, Wyoming |
About this job
Xerox is the world's leading enterprise for business process and document management. Its services, technology, and expertise enable workplaces - from small businesses to large global enterprises - to simplify the way work gets done so they operate more effectively and focus more on what matters most: their real business. Xerox offers business process outsourcing and IT outsourcing services, including data processing, healthcare solutions, HR benefits management, finance support, transportation solutions, and customer relationship management services for commercial and government organizations worldwide. The company also provides extensive leading-edge document technology, services, software and genuine Xerox supplies for graphic communication and office printing environments of any size. Xerox serves clients in more than 160 countries. For more information, visit www.xerox.com, www.news.xerox.com, www.realbusiness.com or www.xerox.com/businessservices.
If you meet the requirements of this position and want to work for a world-class company with a great marketplace reputation, apply today.
Position is remote in WY
Primary Duties and Responsibilities
May perform one or more of the following:
Individual case/disease management/advocacy services, precertification of selected services or procedures, concurrent review, discharge planning and retrospective review
Assists in the development of policies, procedures and new programs relating to care management and quality improvement activities
Acts as patient/family advocate in coordinating and gaining access to needed health care services and interacts on a regular basis with claims administrator personnel to exchange required certification information
Completes a thorough assessment, develops and implements a case/disease management plan including goals based on the assessment
Coordinates and certifies services based upon information received from attending physician and/or other providers using established medical criteria.
Monitors the case to its conclusion, while maintaining contact with all involved parties during all episodes of care
Assess and recognizes benefit value to cost and acts upon cases to affect savings while maintaining quality care.
Takes part in quality improvement strategies by assessing individual and employer satisfaction of programs, identifying real or potential quality issues and working toward overall quality performance.
Maintains current knowledge of Federal, State, and local funding along with community resources available
Other duties as assigned by Mgt
QUALIFICATIONS
Certification/ License:
Registered nurse.
Case Management Certification desirable.
Knowledge : Developing professional expertise, applies company policies and procedures to resolve a variety of issues.
Job Complexity:
Works on problems of moderate scope where analysis of situations or data requires a review of a variety of factors.
Exercises judgment within defined procedures and practices to determine appropriate action.
Builds productive internal/external working relationships.
Supervision : Normally receives general instructions on routine work, detailed instructions on new projects or assignments.
Experience : Typically requires a minimum of 3 years of related experience.
*The information above has been designed to indicate the general nature and level of work performed by employees in these jobs. It is not designed to contain or be interpreted as a comprehensive inventory of all duties, responsibilities, and qualifications required of employees assigned to these jobs.
Xerox is an Equal Opportunity Employer and considers applicants for all positions without regard to race, color, creed, religion, ancestry, national origin, age, gender identity, sex, marital status, sexual orientation, physical or mental disability, use of a guide dog or service animal, military/veteran status, citizenship status, basis of genetic information, or any other group protected by law. People with disabilities who need a reasonable accommodation to apply or compete for employment with Xerox may request such accommodation(s) by sending an e-mail to accommodations@xerox.com. Be sure to include your name, the job you are interested in, and the accommodation you are seeking.
If you meet the requirements of this position and want to work for a world-class company with a great marketplace reputation, apply today.
Position is remote in WY
Primary Duties and Responsibilities
May perform one or more of the following:
Individual case/disease management/advocacy services, precertification of selected services or procedures, concurrent review, discharge planning and retrospective review
Assists in the development of policies, procedures and new programs relating to care management and quality improvement activities
Acts as patient/family advocate in coordinating and gaining access to needed health care services and interacts on a regular basis with claims administrator personnel to exchange required certification information
Completes a thorough assessment, develops and implements a case/disease management plan including goals based on the assessment
Coordinates and certifies services based upon information received from attending physician and/or other providers using established medical criteria.
Monitors the case to its conclusion, while maintaining contact with all involved parties during all episodes of care
Assess and recognizes benefit value to cost and acts upon cases to affect savings while maintaining quality care.
Takes part in quality improvement strategies by assessing individual and employer satisfaction of programs, identifying real or potential quality issues and working toward overall quality performance.
Maintains current knowledge of Federal, State, and local funding along with community resources available
Other duties as assigned by Mgt
QUALIFICATIONS
Certification/ License:
Registered nurse.
Case Management Certification desirable.
Knowledge : Developing professional expertise, applies company policies and procedures to resolve a variety of issues.
Job Complexity:
Works on problems of moderate scope where analysis of situations or data requires a review of a variety of factors.
Exercises judgment within defined procedures and practices to determine appropriate action.
Builds productive internal/external working relationships.
Supervision : Normally receives general instructions on routine work, detailed instructions on new projects or assignments.
Experience : Typically requires a minimum of 3 years of related experience.
*The information above has been designed to indicate the general nature and level of work performed by employees in these jobs. It is not designed to contain or be interpreted as a comprehensive inventory of all duties, responsibilities, and qualifications required of employees assigned to these jobs.
Xerox is an Equal Opportunity Employer and considers applicants for all positions without regard to race, color, creed, religion, ancestry, national origin, age, gender identity, sex, marital status, sexual orientation, physical or mental disability, use of a guide dog or service animal, military/veteran status, citizenship status, basis of genetic information, or any other group protected by law. People with disabilities who need a reasonable accommodation to apply or compete for employment with Xerox may request such accommodation(s) by sending an e-mail to accommodations@xerox.com. Be sure to include your name, the job you are interested in, and the accommodation you are seeking.