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Full-time Case Manager - RN

at linkedrn in Florida

GMMI is an international assistance, cost containment, and travel assistance organization that is looking for dedicated new talents. If you are willing to be part of a team in a fast paced, multi-cultural environment, and can adapt and learn new things quickly – you might be the right candidate for us.

We are looking for a full time, Case Manager for our Medical Team located in Pembroke Pines, FL. This is a Full-Time, Mid-day Shift (12pm to 8pm) in office (Telephonic) position.

PLEASE NOTE: This is not a remote, or a work from home position. It is at our new and lovely Pembroke Pines offices located just off the Pembroke Pines I75 exit. Please read on, learn about our benefits below, and only apply if you are able to meet these needs.

The main responsibilities of the position include but are not limited to:

Plan, Assess, Implement, Monitor and Evaluate the options and services required to meet the healthcare needs of the patient using Utilization Review, Discharge Planning and Case Management protocols.
Facilitate quality of patient care by utilizing cost effective and outcome management criteria.
Communicate between various departments (internal and external) and hospital / insurance (departments) in order to obtain required information from the health care treating team.
Participate in the active expedition of the movement of patient through appropriate levels of care (repatriation back to country of origin / repatriation to another facility or region that has required services that the patient may need).
Identify appropriate providers and facilities through the continuum of care in order to ensure that resources are provided in a timely and cost effective manner to meet the healthcare demands of the patient.
Required Qualifications for the Medical Case Manager include:

Current and valid license to practice as a Registered Nurse in the state of Florida -For the RN role
Two years of hospital experience in related areas (Emergency Room, ICU, Trauma, Transplant, Neurology, Cardiology, Orthopedics and/or Med/Surg.)
Experience in discharge planning, utilization management, case management, performance improvement and or managed care reimbursement
Computer knowledge should include Microsoft Word and Excel
Strong organizational, time management and team work skills with ability to prioritize and perform multiple tasks
Excellent communication, decision making and problem solving skills
Ability to work independently and exercise sound judgment in interactions with physicians, providers, payors, internal staff and insured's' as deemed necessary
Ability to work with multicultural and diverse population is required.
Must be able to work shifts within 7am to 8pm with preferred shift of 12:00pm to 8:00pm.
Must be able to work weekends, holidays and overnight when on-call.
Please only apply if you meet all of the above requirements and are available to work at our offices as listed above.

Case Management Certification (CCM) preferred
GMMI offers a rich variety of competitive compensation and benefits package including:

Company sponsored health, GAP, dental and vision insurance
Company sponsored short term and long term disability
Generous paid time off
401K with company contribution
Tuition reimbursement
Multi-cultural, family oriented environment
Devotion to people and their development, while providing high achievers opportunities to grow professionally
Modern, LEED building centrally located in Broward County, 20 minutes from Dade or Palm Beach County. Walking distance to top of the line shopping and restaurants

Reference : Case Manager - RN jobs

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Published at 13-02-2018
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