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Registered Nurse / RN - Managed Care (2695)

Review and Evaluation | Columbia, SC | Contract

Job Description
Registered Nurse / RN – Managed Care
Work Location: Columbia, SC

InGenesis is currently seeking a Registered Nurse / RN Managed Care Coordinator to review and evaluate medical or behavioral eligibility regarding benefits and clinical criteria. In this role, you will assess and monitor medical necessity using your clinical proficiency and claims knowledge.

This is a potential REMOTE opportunity for local candidates – once trained and high performance is demonstrated! Apply today and we’ll reach out to answer any questions you may have.

Job Duties/Responsibilities
• Provide active case management (assess needs, develop action plans, monitor services).
• Ensure coverage for appropriate services.
• Make referrals to appropriate staff.
• Participate in data collection and entry.
• Ensure accurate documentation of clinical information.
• Perform other duties as assigned.

Minimum Qualifications
• Current Registered Nurse / RN license in the State of South Carolina.
• Associates degree in nursing or graduate from accredited nursing school.
• 2+ years of clinical experience.
• Potential to work remote after 6 months onsite and fully trained in role.