Nurse Case Manager

Description

SteppingStones is working alongside our client, a leading on-island insurance provider, to assist them in sourcing a Nurse Case Manager to join their team. 

The Nurse Case Manager will work with patients, providers, and insurers to coordinate all services deemed medically necessary within the member’s plan. This role will include reviewing claims for surgical or inpatient services and auditing claims. The successful candidate will prepare comprehensive reports and assessments with recommendations for implementation. 

We are looking for a candidate that has extensive medical knowledge within the clinical field and ideally has some knowledge of health insurance claims processing. This role requires computer literacy with experience using the Microsoft Office suite of applications. 

Requirements:

• Registered Nurse 
• Bachelor of Science in Nursing