Episodic Care Manager (REMOTE)

Piper Companies is actively searching for an Episodic Care Manager for a fully remote position. This team works to support one of the world's largest, most innovative healthcare providers bridge the gap between health care and medical coverage. This is a remote position, 8 AM -5 PM, with at least one day on the weekend each week.

Responsibilities for the Episodic Care Manager include:

• Review medical charts and issue pre-authorizations for medical procedures based on patient needs, physician recommendations, and coverage
• Refer cases to the necessary health care providers based upon medical review findings that do not meet criteria
• Further the delivery of care across the Health Care System by coordinating between patients and health care providers
• Employ cost effective health care services based on medical necessity and contractual benefits

Qualifications for the Episodic Care Manager include:

• 3+ years of hands on hospital clinical experience including critical care, step down unit or med surg.
• Must be a Licensed Partitional Nurse or Registered Nurse in the state of North Carolina or have multi-state compact licensure
• Hands on experience with evaluating medical records and charts
• Utilization review experience strongly preferred

Compensation for the Episodic Care Manager includes:

• Compensation: $30 - $37/hr. based on years in industry and relevant experience
• Full Benefits: Medical, Dental, Vision, 401k

Keywords:

Episodic care, episodic care manager, health care, critical care, clinical, health care provider, insurance, coverage, medical review, insurance coverage, health care system, quality care, hospital, critical care patient, LPN, RN, utilization review, UM, UR, prior authorization, MCG, remote

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