Available Positions

RN Case Manager at Health Care Company in Woodland Hills, California, United States —

  • Healthcare
  • Health Care Company
  • Woodland Hills, California, United States
  • 10/17/20

Job ID: 101342

Job Description

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.

Qualifications

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

 

Hours:

Monday – Friday 8a-5p

Advantages of this Opportunity:

Salary is based on experience, tenure, certifications etc. (very competitive with market place)

Next Steps:

If you’re interested in speaking in more detail, please apply today! We are scheduling interviews ASAP.

 

*MO25

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