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Below are the detail of job "Specialty Case Manager - Registered Nurse ":

JOB #   01A*
JOB TITLE   Specialty Case Manager - Registered Nurse
JOB DESCRIPTION  
 Description

  Description

  1. Corporate Office Environment -Managed Care-Insurance
  2. RN Case Manager
  3. Outpatient and Inpatient Reviews
  4. At least two years Case Management Experience
  5. Monday through Friday, 40 Hours a Week

 

QUALIFICATIONS  

Must be able to:    

  • Evaluate the quality of necessary medical services, and be able to acquire and analyze the cost of care.
  • Assist in the formulation of medical case management policies and procedures; understand and interpret policies, procedures and regulations.
  • Develop and maintain effective working relationships with all levels of staff, other programs, agencies, and the general public.
  • Communicate effectively at all organizational levels and in situations requiring instructing, persuading, negotiating, consulting, and advising.
  • Assess resource utilization, cost management and negotiate effectively.
  • Effectively utilize computer and appropriate software and interact as needed with Information Systems.
  • Prepare clear, comprehensive written and oral reports and materials.
 Requirements
  •  Requirements
      • California RN License
      • At Least Three Years Case Management Experience 
      • Strong Verbal and Written Communication
      • B.S.N. Preferred (Not Required)
 
LOCATION   Irvine, CA 90026
JOB TYPE   Perm
REQUIREMENTS   N/A
ADDITIONAL REQUIREMENTS   N/A
LICENSES/CERTIFICATIONS  

California RN License


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