Case Management RN Coordinator
1 day ago
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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