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Below are the detail of job "RN - Utilization Nurse Case Manager, Hospital - Case Manager":

JOB #   07A*
JOB TITLE   RN - Utilization Nurse Case Manager, Hospital - Case Manager
JOB DESCRIPTION  

  Description

  1. Simi Valley, North Hills Area
  2. RN Case Manager
  3. ER - ICU - Med-Surg Departments (++++ plus)
  4. Monday - Friday; 8 Hour/Shifts ONLY
  5. Flexible Scheduling; Short and Long Term Assignments
  6. Temp to Perm

About the Job:

  • Concurrent Review
  • Utilization Review
  • Discharge Planning
  • Authorizations (TARS)

 

QUALIFICATIONS  

Ability to / Knowledge of:

  • Manage cases smoothly and increase patient/physician satisfaction.
  • Strong clinical assessment to provide utilization review and/or discharge planning services to patients with medical & emotional needs.

  • Track outcomes and report findings.
  • Working knowledge of methods to resolve patient needs such as discharge planning, Home Health, DME and SNF’s.
  • Use clinical knowledge to identify potential quality issues, delays in service, post-acute care needs.
  • Excellent verbal and written communication skills.

  • Negotiate orders with the physicians in order to assign alternate levels of care.

  • Working knowledge of reimbursement related to Medicare, Medi-Cal & Managed Care.

LOCATION   Simi Valley, CA
JOB TYPE   Temporary
REQUIREMENTS    Requirements
  1. RN License (CA)
  2. At least 3+ years experience Clinical
  3. At least 2+ years Case Management / UR / UM
  4. Active CPR Card
  5. Physical within the last year
  6. TB Test / PPD
ADDITIONAL REQUIREMENTS   N/A
LICENSES/CERTIFICATIONS   RN State of California (ONLY)

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