Available Positions

Case Manager at Managed Care Organization in Brooklyn, New York, United States —

  • Healthcare
  • Managed Care Organization
  • Brooklyn, New York, United States
  • 4/9/21

Job ID: 33920

Job Description

Provide quality cost-effective care to all members

Evaluate the need for and pre-authorize requests for inpatient, outpatient, specialty care, home care, DME, and transportation services, from network and out of network providers

Ensure compliance with state regulations


Graduate of an accredited nursing program

Licensed to practice as a registered nurse in the state of New York with current registration

3+ years of experience in medical/surgical nursing

Working knowledge of utilization management processes and Federal/State managed care regulations

Excellent written and oral communication skills

Ability to work as a team member and facilitate communication among the member, healthcare providers, and medical management staff 


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