Case Manager

Skills needed

• RN license for VA state

• 3 years Clinical practice experience, e.g., hospital setting, alternative care setting such as home health or ambulatory care required.

• Managed care or Case Management experience.

• Telephonic and Field work. Candidates will need a quiet, dedicated work space with no distractions.

About Company

Since its Founded in 1996, CTC began as an IT organization and has evolved over nearly 30 years into a multidisciplinary solutions partner. CTC took our expertise to the next level by adding healthcare staffing and technology, forming CTC Medisource. CTC Medisource is a reliable partner that assists healthcare organizations in sourcing quality talent to improve the patient experience, scale the workforce, and increase operational performance. Headquartered in Detroit, Michigan, with a global team of more than 2,000 professionals, we bring deep expertise across Healthcare Staffing, AI & ML, Enterprise Applications, Digital Health, Managed Services, and Business Services.

Duties

• Through the use of clinical tools and information/data review, conducts comprehensive assessments of referred member's needs/eligibility and determines approach to case resolution and/or meeting needs by evaluating member's benefit plan and available internal and external programs/services

• Application and/or interpretation of applicable criteria and guidelines, standardized case management plans, policies, procedures, and regulatory standards while assessing benefits and/or member's needs to ensure appropriate administration of benefits

• Utilizes case management and quality management processes in compliance with regulatory and accreditation guidelines and company policies and procedures

Experience

• 3 years Clinical practice experience, e.g., hospital setting, alternative care setting such as home health or ambulatory care required.

• Healthcare and/or managed care industry experience.

• Case Management experience preferred

• Position requires proficiency with computer skills which includes navigating multiple systems and keyboarding

• Effective communication skills, both verbal and written.

• Ability to multitask, prioritize and effectively adapt to a fast paced changing environment

• Sedentary work involving periods of sitting, talking, listening.

• Work requires sitting for extended periods, talking on the telephone and typing on the computer.

• Work requires the ability to perform close inspection of hand written and computer generated documents as well as a PC monitor.

Education

RN state licensure

Pay: $45.00 per hour Expected hours: 40.0 per week

Benefits

• Dental insurance

• Vision insurance

Experience

• Case management/Managed Care: 2 years (Required)

• hospital/home health or ambulatory : 3 years (Required)

License/

Certification

• Registered Nurse License for VA state (Required)

Work Location: Hybrid remote in Falls Church, VA 22040