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Remote Nurse Care Manager

A-Line Staffing Solutions

This is a Full-time position in McAllen, TX posted October 30, 2021.

Care Manager II (RN) openings with a major health insurance / managed care company based in the McAllen, TX area! Starting ASAP!! Apply now with Jake Z. at A-line!!

**Position will start remote with intentions to return to office after covid restrictions are lifted

Daily Duties / Job Summary:

  • •          Assist with member tasks – follow up with members regarding coordination of care

    •          Follow up with providers and doctors’ offices

    Describe the performance expectations/metrics for this individual and their team:

    •          Provided a monthly caseload (20 per month)

    •          Required to follow up with members on a weekly basis

Pay Rate: $35-$40/hour

Hours: 

Monday – Friday, 8 am – 5 pm CST

1 hour lunch break from 12 to 1

Required Qualifications:

  • Must be a Licensed Registered Nurse in Texas
  • Must have solid Case management experience
  • Graduate from an Accredited School of Nursing. Bachelor’s degree in Nursing preferred.
  • 2+ years of clinical nursing experience in a clinical, acute care, or community setting.
  • Knowledge of healthcare and managed care preferred.
  • Prior experience working in a remote role preferred.

Why Apply:

  • Full benefits available after 90 days: Medical, Dental, Vision, Life, Short-term Disability
  • 401k after 1 year of employment: With employer match and profit sharing
  • GREAT Hours! Monday through Friday, 40 hours per week, No Weekends
  • Competitive Pay Rate!​

Keywords: Care Manager RN, Prior Authorization Nurse, PA Nurse, Medicare, Medicare Review, CMS, Medicaid, BSN, ASN, ADN, MSN, Case Management, URAC, Authorization Nurse, Intake Coordination, Discharge Planning, Utilization Management, Utilization Review, Home Healthcare, Medical Billing, Medical Coding, Provider Services, Member Services, CMS, Managed Care, MCO, Benefit Verification, LVN, Licensed Vocational Nurse, Clinical Care, Clinical Service, Clinical Coordinator, Nurse, Mail Order Medications, Insurance Verification, Pharmacy, Prior Authorization, Reimbursement Counselor, Medical Customer Service, Healthcare, Inbound Calls, Outbound Calls, Medicare, Medicaid.

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