RN Case Manager at Health Care Company in Woodland Hills, California, United States —
- Health Care Company
- Woodland Hills, California, United States USA
- 10/17/20 2020-10-17
Job ID: 101342
We are actively seeking RN Case Managers to join our managed care team in Woodland Hills, Los Angeles, CA ASAP! We are a national healthcare organization with several locations throughout the states!
This is an in-office, telephonic role!
If you’re interested in hearing more, please apply today!
Perform care management duties to assess, plan and coordinate all aspects of medical and supporting services
Utilize assessment skills and discretionary judgment to develop plan of care based upon assessment with specific objectives
Coordinate services between Primary Care Physician, specialists, medical providers, and non-medical staff as necessary to meet the complete medical socio economic needs of clients
Provide patient and provider education
Facilitate member access to community based services
Monitor referrals made to community based organizations, medical care and other services to support the members’ overall care management plan
Actively participate in integrated team care management rounds
Identify related risk management quality concerns and report these scenarios to the appropriate resources.
MUST be RN with clear/active license in CA
2+ years case management and recent nursing experience in an acute care setting or community setting and 1+ years of case management experience in a managed care setting
Knowledge of utilization management principles (experience with Interqual or Milliman)
Strong understanding of Medicare/Medicaid populatio
Monday – Friday 8a-5p
Advantages of this Opportunity:
Salary is based on experience, tenure, certifications etc. (very competitive with market place)
If you’re interested in speaking in more detail, please apply today! We are scheduling interviews ASAP.