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Registered Nurse Case Manager

Location : Edinburg, TX
Job Type : Contract
Reference Code : 8529
Hours : Full Time
Required Years of Experience : 2+ Years
Required Education : Completed Registered Nurse Program
Travel : No
Relocation : No

Job Description :

We have an awesome client in the Edinburg, TX area who is in need of RN's to fulfill their Case Manager needs!

Case Manager Job Responsibilities:

Works with the Utilization Management team primarily responsible for inpatient medical necessity/utilization review and other utilization management activities aimed at providing members with the right care at the right place at the right time. Provides daily review and evaluation of members that require hospitalization and/or procedures providing prior authorizations and/or concurrent review.

Case Manager Job Requirements:

  • Completion of an accredited Registered Nursing program. (a combination of experience and education will be considered in lieu of Registered Nursing degree).

  • RUG Certified (Preferred)

  • STAR+PLUS Experience

  • Required Experience: Minimum 0-2 years of clinical practice.

  • Preferably hospital nursing, utilization management, and/or case management.

  • Required Licensure/Certification: Active, unrestricted State Nursing (RN) license in good standing

For immediate review please send your resume to

We look forward to hearing from you!

Required Qualifications :
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* Your eligibility for benefits depends upon your placement, hours billed and length of service. Your recruiter can identify the programs for which you are eligible. The Company reserves the right to modify or eliminate any of its non-legally mandated benefits at any time.