RN Care Management Professional
6 days ago
**Job Description:** Blue Shield of California is seeking an experienced RN to join our Care Management team as a RN Care Management Professional. In this role, you will be responsible for performing first-level determination approvals, reviewing prior authorization requests, and developing member-centered documentation.
Estimated Salary: $90,000 - $115,000 per year
Key Responsibilities:
- Ensure discharge (DC) planning at levels of care appropriate for the members' needs and acuity.
- Determine post-acute needs of members including levels of care, durable medical equipment, and post-service needs.
- Triages and prioritizes cases to meet required turn-around times and expedites access to appropriate care for members with urgent needs.
Requirements:
- Bachelor's degree or equivalent experience.
- Experience working with or for a managed healthcare plan preferred.
- Effective time management skills and ability to define and act on priorities efficiently preferred.
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Travel Healthcare Professional RN
2 weeks ago
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Nursing Care Professional
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Travel Healthcare Professional
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