Case Manager I
2 weeks ago
We are seeking a skilled and compassionate Registered Nurse Case Manager to join our team at Sharp HealthCare. As a key member of our healthcare team, you will play a vital role in ensuring the highest quality patient care and outcomes.
Key Responsibilities- Assess, develop, implement, and coordinate comprehensive plans of care for patients and families in collaboration with physicians, social workers, and other healthcare professionals.
- Conduct initial reviews at the point of entry or within 24 hours of admission, utilizing evidence-based care guidelines software to identify anticipated length of stay and document findings in the electronic medical record.
- Conduct daily concurrent reviews per protocol/policy and payer request, utilizing care guideline software to identify the correct patient status and level of care.
- Work with attending providers to assure correct status and resolve conflicts, documenting interventions in the electronic medical record.
- Communicate with third-party payers to obtain necessary authorization for reimbursement of services and provide advice to Revenue Cycle/HIM regarding RAC decisions to appeal, denials, and input into appeals.
- 2 years of recent acute care nursing experience, case management experience, or equivalent experience in the healthcare setting.
- California Registered Nurse (RN) licensure.
- Preferred qualifications include a Bachelor's Degree in Nursing or equivalent degree, Master's Degree, Certified Case Manager (CCM) certification, and Accredited Case Manager (ACM) certification.
Sharp HealthCare is an equal opportunity/affirmative action employer. We offer a competitive salary and benefits package, as well as opportunities for professional growth and development.
-
Case Manager I
3 weeks ago
La Mesa, California, United States Sharp HealthCare Full timeJob Title: Case Manager ISharp HealthCare is seeking a skilled Case Manager I to join our team. As a Case Manager I, you will play a critical role in ensuring that patients receive the appropriate care, in the appropriate setting, and using the appropriate utilization standards.Key Responsibilities:Assess, develop, implement, coordinate, and monitor a...
-
Case Manager I
3 weeks ago
La Mesa, California, United States Sharp HealthCare Full timeJob Title: RN Case Manager IJob Summary:Sharp HealthCare is seeking a skilled RN Case Manager I to join our team. As a key member of our healthcare team, you will be responsible for assessing, developing, implementing, coordinating, and monitoring a comprehensive plan of care for each patient/family in collaboration with the physician, social worker, and all...
-
Case Manager I
2 weeks ago
La Mesa, California, United States Sharp Healthplan Full timeJob SummaryWe are seeking a skilled RN Case Manager I to join our team at Sharp Healthplan. As a key member of our healthcare team, you will be responsible for assessing, developing, implementing, and coordinating comprehensive plans of care for patients and families in collaboration with physicians, social workers, and other healthcare professionals.Key...
-
Case Manager I
2 weeks ago
La Mesa, California, United States Sharp HealthCare Full timeJob SummarySharp HealthCare is seeking a skilled and compassionate RN Case Manager to join our team. As a key member of our interdisciplinary team, you will play a vital role in ensuring our patients receive the highest quality care and support throughout their hospital stay and beyond.Key ResponsibilitiesConduct initial reviews of patients at the point of...
-
Case Manager
2 weeks ago
La Mesa, California, United States Kaiser La Mesa Administration Full timeJob Summary: We are seeking a skilled Case Manager to join our team at Kaiser La Mesa Administration. As a Case Manager, you will play a vital role in providing psychosocial support to individuals, families, and groups affected by chronic, acute, or terminal illnesses. Your expertise will help patients navigate the healthcare system, access necessary...
-
Case Manager
3 weeks ago
La Mesa, California, United States Kaiser La Mesa Administration Full timeJob SummaryWe are seeking a skilled Case Manager to join our team at Kaiser La Mesa Administration. As a Case Manager, you will play a critical role in providing individuals, families, and groups with the psychosocial support needed to cope with chronic, acute, or terminal illnesses.Key ResponsibilitiesPerform admission, concurrent, and retrospective reviews...
-
Travel Nurse RN Case Manager
1 month ago
La Jolla, California, United States TotalMed Case Management Staffing Full timeJob Title: Travel Nurse RN Case ManagerTotalMed Case Management Staffing is seeking a skilled travel nurse RN case manager to join their team.Job Details:Specialty: Case ManagementDiscipline: RNDuration: 13 weeksHours per week: 40Shift: 8 hours, daysEmployment Type: TravelWe are looking for a dedicated and experienced travel nurse RN case manager to join our...
-
Travel Nurse RN Case Manager
1 month ago
La Jolla, California, United States TotalMed Case Management Staffing Full timeJob Title: Travel Nurse RN Case ManagerTotalMed Case Management Staffing is seeking a skilled travel nurse RN case manager to join their team in La Jolla, California.Job Description & RequirementsSpecialty: Case ManagementDiscipline: RNDuration: 13 weeks40 hours per weekShift: 8 hours, daysEmployment Type: TravelTotalMed Case Management Staffing is a leading...
-
Travel Nurse RN Case Manager
1 month ago
La Jolla, California, United States TotalMed Case Management Staffing Full timeJob Title: Travel Nurse RN Case ManagerTotalMed Case Management Staffing is seeking a skilled travel nurse RN case manager to join our team.Job Description & RequirementsSpecialty: Case ManagementDiscipline: RN40 hours per weekShift: 8 hours, daysEmployment Type: TravelWe are looking for a dedicated case manager-registered nurse to work with our team in La...
-
Travel Nurse Case Manager
1 month ago
La Mesa, California, United States Emerald Health Services Full timeJob Title: Travel Nurse Case Manager Job Summary: We are seeking a skilled Travel Nurse Case Manager to join our team at Emerald Health Services. As a Travel Nurse Case Manager, you will be responsible for providing high-quality patient care and managing patient cases in a clinic setting. Responsibilities: * Provide patient care and manage patient cases...
-
Travel Nurse
1 month ago
La Mesa, California, United States Emerald Health Services Full timeTravel RN - Case Manager Job OpportunityWe are seeking a skilled Travel RN - Case Manager to join our team at Emerald Health Services. As a Travel RN - Case Manager, you will be responsible for providing high-quality patient care and managing cases in a clinic setting.Job DetailsShift: Days / 8:30a-5p, 8x5, 40hrs per weekLength: 13 weeksOn Call/Weekend...
-
Travel Nurse RN Case Manager
3 weeks ago
La Mesa, California, United States PHP Full timeJob Title: Travel Nurse RN Case ManagementPHP is seeking a skilled travel nurse RN case manager to join their team in La Mesa, California.Job SummaryWe are looking for a dedicated and experienced RN case manager to provide high-quality patient care and case management services in a travel nursing setting.ResponsibilitiesProvide case management services to...
-
Travel Nurse RN Case Manager
1 month ago
La Mesa, California, United States Medical Solutions Full timeJob Title: Travel Nurse RN Case ManagerMedical Solutions is seeking a skilled travel nurse RN Case Manager to join our team. As a travel nurse, you will have the opportunity to work with various healthcare systems and patients, while also developing your clinical skills and expertise.About the JobThis travel nursing job is a great opportunity for nurses who...
-
Travel Nurse RN Case Manager
3 weeks ago
La Mesa, California, United States Medical Solutions Full timeTravel Nurse RN Case Manager Job DescriptionMedical Solutions is seeking a skilled travel nurse RN Case Manager to join our team in La Mesa, California.Job SummaryWe're looking for a talented healthcare professional to fill this 13-week travel nursing position. As a travel nurse RN Case Manager, you'll be responsible for managing patient care and ensuring...
-
Travel Nurse RN Case Manager
3 weeks ago
La Mesa, California, United States OneStaff Medical Full timeJob Title: RN Case Management Travel NurseOneStaff Medical is seeking a skilled RN Case Management Travel Nurse to join our team.Job Summary:We are looking for a dedicated and compassionate RN Case Management Travel Nurse to provide high-quality patient care and coordinate long-term care plans. As a Case Management Travel Nurse, you will work closely with...
-
Travel Nurse RN Case Manager
1 month ago
La Mesa, California, United States Medical Solutions Full timeJob Title: Travel Nurse RN Case ManagerMedical Solutions is seeking a skilled travel nurse RN case manager to join our team in La Mesa, California.Job Summary:We are looking for a dedicated and experienced travel nurse RN case manager to work with our clients in La Mesa, California. As a travel nurse RN case manager, you will be responsible for managing...
-
Travel Nurse RN Case Manager
3 weeks ago
La Mesa, California, United States Cross Country Nurses Full timeJob Title: Travel Nurse RN Case ManagerCross Country Nurses is seeking a skilled Travel Nurse RN Case Manager to join our team. As a case management nurse, you will collaborate with the healthcare team to assess, plan, facilitate and coordinate care for individual patients.Key Responsibilities:Collaborate with healthcare teams to assess, plan, and coordinate...
-
Travel Nurse RN Case Management
3 weeks ago
La Mesa, California, United States Host Healthcare Full timeTravel Nursing Opportunity with Host HealthcareHost Healthcare is seeking a skilled Travel Nurse RN Case Management to join our team in La Mesa, California.Job DetailsSpecialty: Case ManagementShift: 8 hours, daysEmployment Type: TravelAs a Travel Nurse RN Case Management with Host Healthcare, you will have the opportunity to work with a variety of patients...
-
Travel Nurse RN Case Manager
1 month ago
La Mesa, California, United States PHP Full timeJob Title: Travel Nurse RN Case ManagementPHP is seeking a skilled travel nurse RN Case Management professional for a travel nursing opportunity in California.Job Requirements:Specialty: Case ManagementDiscipline: RNDuration: 13 weeks40 hours per weekShift: 8 hours, daysEmployment Type: TravelPHP Job ID #279740. Pay package is based on 8 hour shifts and 40...
-
Travel Nurse RN Case Management
3 weeks ago
La Mesa, California, United States Host Healthcare Full timeJob Title: RN - Case ManagementHost Healthcare is seeking a skilled Registered Nurse to fill a Case Management position in La Mesa, California.Job Description & RequirementsSpecialty: Case ManagementDiscipline: RN40 hours per weekShift: 8 hours, daysEmployment Type: TravelAs a travel nurse with Host Healthcare, you will have the opportunity to work with a...