RN CASE MANAGER
2 weeks ago
Monterey Park Hospital, located in the San Gabriel Valley of Los Angeles, is a 101 bed acute care community hospital. Monterey Park Hospital has provided our community with advanced medical and culturally sensitive healthcare services for over 50 years. Monterey Park Hospital is recruiting for a full time RN Case Manager for our Utilization Review Department. This position reports to the Case Management Manager.
Responsibilities
The RN Case Manager's primary role is to obtain all functions associated with Continuum of Care for adult and pediatric patients from Pre-Admission/admitting through post discharge placement. The Case Manager will initiate the admission review, prioritize continue stay reviews, and review post hospital care plans with the physician, family and medical care team. The Case Manager will process TAR submissions and maintains knowledge of Interqual and MCG quidelines to evaluate medical necessity for Pre-Admission, admissions or continued stay. The Case Manager will refer high risk and/or questionable cases to the UR Physician Advisor regarding inappropriate admission, and level of care and works with the attending MD and Physician Advisor to assist with discharge. The Case Manager is familiar with and responsible for MPH capitated patients. The Case Manager will perform telephonic/FAX review with contracted health plan/medical group regarding authorization and treatment plan, will interface with attending MD and consultants in a timely manner regarding inpatient authorization, length of stay and discharge plan. The Case Manager will coordinate authorization/certification with third party payor financial counselor to ensure appropriate coverage for entire stay. The Case Manager will refer high-risk cases to Social Services and Quality Improvement. He/she assists the MD with insurance appeals, and maintains communication with the Department of Nursing, Medical Records, Social Services and Admitting.
Qualifications
Current California RN license preferred or current CA LVN license with 3-5 years case management (Utilization Review) and/or equivalent experience required. Current BLS certification preferred. Knowledge of medical terminology. Demonstrated effective verbal and written communication skills and independent problem solving and decision making abilities. Proficient with Case Management databases and systems required.
-
REGISTERED NURSE(RN)
6 days ago
Monterey, CA, USA, United States MAS Medical Staffing Full timeSeeking a(n) Registered Nurse (RN) professional with Registered Nurse (Case Manager) experience for a 12 week contract in the Monterey CA area. MAS Medical Staffing offers rewarding travel opportunities to healthcare professionals throughout the Unit Registered Nurse, Case Manager, Travel, Manager, Registered, Nurse, Staffing
-
Case Manager
3 hours ago
Monterey, United States RVM Work force corp. Full time**Working under the Direction of the program DPCS and within an interdisciplinary team Philosophy, the nurse will directly work with physician in identifying and coordinating Patients/Family/Care Giver Home care needs and providing skilled supportive care' to patients and families.** Job title**:Home Health Cases Manager RN** **Shift: Day with rotating...
-
RN Case Manager
2 weeks ago
Monterey, United States Instant Serve LLC Full timeJob DescriptionJob DescriptionJob Title : Case Manager RNLocation : Monterey, CA 93940Pay Rate : $110,427.00 to $119,787.00 per year Full Time Permanent Position JOB DESCRIPTION : Working under the direction of the program DPCS and within an interdisciplinary team philosophy, the nurse will work directly with physicians in identifying and coordinating...
-
RN CASE MANAGER
1 week ago
Brawley, CA 92227, USA, United States DIVERSE LYNX LLC Full timeJob Role - RN CASE MANAGERLocation - Brawley, CA13 weeks ContractShift - Day 4x10-Hour (07:00 - 17:00) Pay - $62-64/hr on w2 RequirementsBLS3 years of experience as RN CASE MANAGERCA State RN License
-
RN CLINICAL CONSULTANT
3 weeks ago
Monterey Park, CA 91754, USA, United States Astrana Health Full timeJob Title: RN Clinical ConsultantDepartment: Health Services - Enhanced Care ManagementAbout the Role:As an RN Clinical Consultant, you play a pivotal role in ensuring the provision of high-quality care for enrollees within ECM Health Risk Assessments. You are entrusted with the critical task of assessing and determining the appropriate management of member...
-
OUTPATIENT CASE MANAGER; RN
2 weeks ago
Montebello, CA 90640, USA, United States AltaMed Full timeWork Boldly. Live Brilliantly.At AltaMed, we don't just serve our communities, we are part of them. We have raised the expectations of what a community clinic can deliver because we think quality care is for everyone. And, we are determined to provide it no matter the challenges because this is more than a job. It's the calling of our lives and it compels us...
-
Registered Nurse
1 week ago
Monterey, United States Assist Medical Staffing LLC Full timeHiring a Home Health Case Manager Registered Nurse (RN) for a full time, 13 weeks contract position in Monterey, CA for a healthcare facility. The pay rate is $75 hr, weekly pay. Full time hours Hiring for shifts: Days, with rotating weekends Contract extensions available To do well in this role you should have your state Registered Nurse (RN) license...
-
Case Management Coordinator hybrid
7 days ago
Monterey Park, United States Astrana Health Full timeJob Title: Case Management Coordinator Department: Health Services - ICM **About the Role**: Assist Case Manager(s), Specialist, Supervisor & Manager in assigned area of responsibility, including compiling information (open & close inpatient cases), fax authorization letters to providers, including sending denial letters and keeping records. Provide and...
-
RN CASE MANAGER
1 week ago
Visalia, CA 93290, USA, United States Kaweah Health Full timeKaweah Health is a publicly owned, community healthcare organization that provides comprehensive health services to the greater Visalia area in central California. With more than 5,000 employees, Kaweah Health provides state-of-the-art medicine and high-quality preventive services in our acute care hospital, specialized health centers and clinics. Our...
-
RN CASE MANAGER
1 week ago
Coral Springs, FL, USA, United States Gulf Stream Staffing Full timeGulfstream Staffing has partnered with a medicare-certified Home Care organization that is experiencing a rapid growth phase. We are currently seeking candidates for a full-time RN Case Manager opportunity in Coral Springs, FL. The Case Manager is required to primarily work in office but may also be required to perform field case management with...
-
AK-REGISTERED NURSE CASE MANAGER- RATE
6 days ago
Alaska, USA, United States RN Staff Full timeMUST HAVE ACTIVE AK LICENSEMUST HAVE FULL COVID (INCLUDING 1 BOOSTER) AND FLU VACCINATIONPOSITION SUMMARYThis position functions within the nursing department and is responsible for coordinating the delivery of appropriate and timely care for patients, promoting quality and cost-effective health care outcomes.ACCOUNTABILITIESResponsible for the active...
-
RN Case Manager
6 days ago
Burbank, CA, United States 22nd Century Technologies, Inc. Full timeJob Summary: We are seeking a compassionate and experienced Registered Nurse Case Manager to join our healthcare team. As a Registered Nurse Case Manager, you will be responsible for coordinating and providing comprehensive patient care, ensuring the delivery of high-quality services to our patients. This is a rewarding opportunity to make a positive impact...
-
RN CASE MANAGER
1 week ago
Valparaiso, IN 46383, USA, United States Porter Hospital Full timeNew pay rates available!RN Case Manager is to manage an assigned caseload of patients to ensure optimal clinical, financial, and quality outcomes during acute hospitalization. The RN Case Manager utilizes clinical criteria, professional nursing skills, and experience to assess admission and continued stay appropriateness and monitor the care plan to ensure...
-
RN CASE MANAGER
4 days ago
Valparaiso, IN 46383, USA, United States Porter Hospital Full timeNew pay rates available!RN Case Manager is to manage an assigned caseload of patients to ensure optimal clinical, financial, and quality outcomes during acute hospitalization. The RN Case Manager utilizes clinical criteria, professional nursing skills, and experience to assess admission and continued stay appropriateness and monitor the care plan to ensure...
-
REGISTERED NURSE(RN)
5 days ago
Burbank, CA, USA, United States MAS Medical Staffing Full timeSeeking a(n) Registered Nurse (RN) professional with Registered Nurse (Case Manager) experience for a 12 week contract in the Burbank CA area. MAS Medical Staffing offers rewarding travel opportunities to healthcare professionals throughout the Unite Registered Nurse, Case Manager, Travel, Manager, Registered, Nurse, Staffing
-
Travel Nurse
1 week ago
Monterey, United States Coast Medical Service Full timeCoast Medical Service is seeking an experienced Case Manager Registered Nurse for an exciting Travel Nursing job in Monterey, CA. Shift: 3x12 hr days Start Date: ASAP Duration: 13 weeks Pay: $2341.25 / Week Coast Medical Service is a nationwide travel nursing & allied healthcare staffing agency dedicated to providing an elite traveler experience for the...
-
RN, CASE MANAGER
2 weeks ago
Fountain Valley, CA 92708, USA, United States MemorialCare Health System Full timeTitle: RN, Case ManagerLocation: Laguna HillsDepartment: Inpatient/ Specialty ServicesStatus: Full-timeShift: DaysPay Range*: $48.94/hour - $70.96/hourBonus: $10,000 sign onAt MemorialCare Health System, we believe in providing extraordinary healthcare to our communities and an exceptional working environment for our employees. Memorial Care stands for...
-
RN CASE MANAGER
1 week ago
Nashville, TN 37205, USA, United States Sigma Inc Full timeASC-25826 - RN Case Manager - Nashville, TN - 13 Weeks Contract Sigma Healthcare team is currently looking for an Registered Nurse Case Manager to work onsite at our client's facility in Evansville, IN.Shift: 08:00 - 16:30 Summary: We are searching for a devoted RN case manager to coordinate and advocate for our patients' care. To this end, the RN case...
-
RN CASE MANAGER
4 weeks ago
Rossford, OH 43460, USA, United States Goodwin Recruiting Full timeEstablished Hospice facility seeking compassionate RN Case Manager to care for patients in their homes. RN Case Manager (Hospice) Benefits Competitive Salary. Great comprehensive benefits package RN Case Manager (Hospice) Qualifications/ Responsibili Case Manager, RN, Hospice, Manager, Healthcare, Staffing
-
RN Case Manager
1 week ago
San Pedro, CA, United States Enterprise Solutions Inc Full timeRole: RN Case Manager Location: San Pedro, CA 90732 Contract: 13 weeks Rate: $ 50- $62/hr (Local and traveler both are accepted) Shift: Day shift 8 hours (8:30-5:00) Some weekends. *Requirements:*2 years of Acute Care experience (can consider 1.5 years) Experience with Utilization Review and Discharge Planning Experience with InterQual #RA1 Job Type:...