Actalent Oklahoma City , OK 73113
Posted 1 week ago
Actalent is Hiring for Case Manager
DESCRIPTION
As a Case Manager in Utilization Review, you will perform integrated case management and disease management activities,
demonstrating clinical judgment and independent analysis. You will collaborate with members and those involved with members'
care including clinical nurses and treating physicians.
Roles and Responsibilities
assessment of the member's needs.
guidelines, community resources, contracting and community care standards to
each case.
services based on medical necessity and contractual benefits.
planning, collaborate with member support system and health care professionals involved in the continuum of care,
and make referrals to appropriate departments.
Hard Skills
Licensed RN
acute care experience or surgery experience/ Case Management Experience
Knowledge of MCG Medical Necessity criteria
Understanding Medical Necessity Review
Soft Skills
Job Type
This is a Contract-to-Hire position with a duration of 6 Month(s).
Work Site
This is a fully on-site position in Oklahoma City, Oklahoma City.
About Actalent
Actalent is a global leader in engineering and sciences services and talent solutions. We help visionary companies advance their engineering and science initiatives through access to specialized experts who drive scale, innovation and speed to market. With a network of almost 30,000 consultants and more than 4,500 clients across the U.S., Canada, Asia and Europe, Actalent serves many of the Fortune 500.
Diversity, Equity & Inclusion
At Actalent, diversity and inclusion are a bridge towards the equity and success of our people. DE&I are embedded into our culture through:
Hiring diverse talent
Maintaining an inclusive environment through persistent self-reflection
Building a culture of care, engagement, and recognition with clear outcomes
Ensuring growth opportunities for our people
The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.
If you would like to request a reasonable accommodation, such as the modification or adjustment of the job application process or interviewing process due to a disability, please email actalentaccommodation@actalentservices.com for other accommodation options.
Actalent