Job Details

Nurse-Case-Manager-RN-or-LVN--Birmingham

Company name
Kelly Services, Inc.

Location
Birmingham, AL

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Nurse Case Manager - RN or LVN - Birmingham Kelly Services has an exciting opportunity for a  Nurse Case Manager to come work with our client located near Birmingham, AL. If you’re ready to help individuals maintain a healthy life, then what are you waiting for?! Apply today! ROLES AND RESPONSIBILITIES:

Responsible for collaborating with healthcare providers and members to optimize member benefits and to promote effective use of resources.

Assesses the medical necessity of inpatient admissions, outpatient services, surgical and diagnostic procedures, and out of network services.

May also manage appeals for services denied. 

May conduct pre-certification, concurrent and retrospective reviews to ensure compliance with medical policy, member eligibility, benefits, and contracts.

 REQUIRED QUALIFICATIONS:

Active and unrestricted RN or LVN license in state of Alabama

Working knowledge of the insurance industry and the overall claims process a plus.

Case Management or Utilization Review experience for at least 1 year

Managed Care experience is a plus

Company info

Kelly Services, Inc.
Website : http://www.kellyservices.com

Company Profile
William Russell Kelly founded the company in Detroit on October 7, 1946, operating as the Russell Kelly Office Service. He is widely credited with pioneering the modern temporary help industry. The company was renamed Kelly Girl Service in 1957, and it became Kelly Services® in 1966 to reflect the growing services of the company. Established in the International Marketplace In 1968, Kelly Services opened its first international office in Toronto, Ontario, Canada. The company’s first European office opened in 1972 in Paris, France. Today, we offer a full suite of outsourcing, consulting, and staffing solutions—delivered globally from over a 70-year heritage of dynamic talent innovations. Total Sales Revenue in 2016 was $5.3 billion. Fortune U.S. Rank Kelly Services is currently ranked 490 in the Fortune 500 list of America’s largest companies.

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