Clinical Management, RN
Location: Johnson City Tennessee
Description: SummaCare is at the momment seeking for Clinical Management, RN right now, this job will be placed in Tennessee. Detailed specification about this job opportunity please read the description below. SummaCare, Inc., a regional health insurance company based in Akron, Ohio, is looking for someone to collaborate in a broad managed care continuum in Johnson City , Tennessee to assess, plan, im! plement, coordinate, monitor and evaluate services to meet individual health care needs through effective communication and management of resources while promoting quality, cost effective outcomes.
The successful candidate will analyze clinical information to make accurate medical necessity decisions for inpatient admissions, surgeries, diagnostic procedures & treatments, using approved medical criteria and in compliance with regulatory guidelines, accreditation standards, established timeframes, and company policies.
Requirements include : 3+ years previous managed care/health insurance industry case management, utilization management and/or disease management experience.
Education : Associate Degree or may substitute with 2 years of like experience.
Required License : Registered Nurse (RN)
In addition to exciting growth opportunities, SummaCare offers a comprehensive benefits/compensation package that inclu! des generous medical/dental/vision benefits, 401(k) plan, tuit! ion assistance, non-contributory life insurance, long-term care insurance and short/long term disability benefits.
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If you were eligible to this job, please email us your resume, with salary requirements and a resume to SummaCare.
If you interested on this job just click on the Apply button, you will be redirected to the official website
This job starts available on: Thu, 03 Oct 2013 22:01:20 GMT