Case Management RN Coordinator

1 day ago


Orange, California, United States Kinetic Personnel Group Full time

About the Role

This Medical Case Manager position involves facilitating communication and coordination among healthcare teams to ensure quality, cost-effective outcomes for health plan members. The successful candidate will have a strong background in nursing and excellent communication skills.

Key Responsibilities

  • Provide ongoing case management services to health plan members, including reviewing and evaluating proposed services.
  • Analyze requests to monitor utilization of services, including medical appropriateness and identify potentially high-cost, complex cases for high-level case management intervention.
  • Develop, implement, and monitor care plans through an interdisciplinary team process in conjunction with the individual member and family in internal and external settings across the continuum of care.

What You'll Need

  • Associates degree in Nursing (ADN); or equivalent work experience required. Bachelor's degree in Nursing (BSN) preferred.
  • Current, unrestricted Registered Nurse (RN) license to practice in the State of California required.
  • 3 years of clinical experience with the health needs of the population served required.

About Our Company

Kinetic Personnel Group is a leading government public health plan that values quality, cost-effective outcomes. Our competitive salary range is $43.00 - $69.00 per hour, and we expect 40 hours of work per week.



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