**Timing: M-F 8-5** **Job Description:** The Case Manager utilizes a collaborative process of assessment, planning, facilitation and advocacy for options and services to meet an individual’s benefit plan and/or health needs through communication and available resources to promote optimal, cost-effective outcomes. **Responsibilities:** + Through the use of clinical tools and information/data review, conducts comprehensive assessments of referred member's needs/eligibility and determines approach to case resolution and/or meeting needs by evaluating member's benefit plan and available internal and external programs/services + Application and/or interpretation of applicable criteria and guidelines, standardized case management plans, policies, procedures, and regulatory standards while assessing benefits and/or members needs to ensure appropriate administration of benefits + Utilizes case management and quality management processes in compliance with regulatory and accreditation guidelines and company policies and procedures **Skills:** + Utilization review + RN + Assure care + Clinical practice + Medcompass **Experience:** + 3 years Clinical practice experience, e.g., hospital setting, alternative care setting such as home health or ambulatory care required. + Healthcare and/or managed care industry experience. + Case Management experience preferred-- Position requires proficiency with computer skills which includes navigating multiple systems and keyboarding + Effective communication skills, both verbal and written. + Ability to multitask, prioritize and effectively adapt to a fast paced changing environment + Sedentary work involving periods of sitting, talking, listening. Work requires sitting for extended periods, talking on the telephone and typing on the computer. + Work requires the ability to perform close inspection of hand written and computer generated documents as well as a PC monitor. + Typical office working environment with productivity and quality expectations. **Education:** RN with current unrestricted state licensure. **About US Tech Solutions:** US Tech Solutions is a global staff augmentation firm providing a wide range of talent on-demand and total workforce solutions. To know more about US Tech Solutions, please visit www.ustechsolutions.com (http://www.ustechsolutionsinc.com) . US Tech Solutions is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity,