MEDICAL CASE MANGEMENT NURSE: RN

2 months ago
United StatesFull TimeNursing

Job Description

About the Role

Join BRMS as a MEDICAL CASE MANGEMENT NURSE: RN in United States.

Key Responsibilities

  • and Responsibilities include the following.
  • Other duties may be assigned.
  • Works on site with consistent attendance.
  • Conducts case reviews for appropriateness/quality of treatment and bill accordingly by group concurrently.

Requirements

  • Saturday 8:00 am
  • 5:00 pm. On

Benefits & Compensation

  • Saturday 8:00 am
  • 5:00 pm. On

Work Schedule

  • Full-time position.
  • No explicit call, weekend, or night shift information provided.

Apply to join BRMS as a MEDICAL CASE MANGEMENT NURSE: RN.

Key Skills

ICD-10HCPCSCPT CodingCommunication SkillsAnalytical SkillsProject ConsultingUtilization ReviewQuality AssuranceTeamworkNursing PrinciplesCost ContainmentMedical NecessityStatistical Case ReviewsHealthcare Provider RelationshipsRegulatory CompliancePatient Progress Evaluation
HealthcareManagement & LeadershipCustomer Service & SupportConsultingAdministrativevia Paylocity

Position Insights

Nursing — Registered Nurse Career Context

This Nursing position at BRMS is open to registered nurse candidates.

Registered Nurses have diverse career pathways from bedside care to telehealth triage, care coordination, and leadership roles with increasingly flexible scheduling options.

Location & Logistics

This position is based in United States.

Skills, Responsibilities & Benefits

Key skills and qualifications: ICD-10, HCPCS, CPT Coding, Communication Skills, Analytical Skills, Project Consulting, Utilization Review, Quality Assurance. Candidates with experience in these areas may be especially well-suited for this Nursing role.

Core responsibilities: The MCM Nurse conducts case reviews, tracks patient treatment, and maintains communication between insured individuals, medical providers, and insurance companies. They also develop treatment plans, generate utilization reports, and ensure compliance with medical standards.

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