Registered Nurse (RN), Case Manager, Utilization Review - PD/Evenings (3PM-11PM)
Company: MemorialCare Health System
Location: Long Beach
Posted on: May 3, 2021
To provide safe, cost-effective patient care through the health
experience, according to established standards utilizing the
nursing process, within the scope of practice of Registered
Nursing. The case manager is a licensed professional who
coordinates and facilitates the ongoing care and appropriate
discharge plan of a specific caseload of patients through the
continuum of care. The case manager collaborates with members of
the health care team, the patient, and their family to assure
effective, efficient, and appropriate care and outcomes. Fiscal
responsibilities include management of utilization, providing
clinical information to payors and assuring appropriate
- This position requires strong verbal and written communication
skills with the ability to communicate well with people from
diverse socioeconomic backgrounds. The case manager is
knowledgeable of criteria for medical necessity for each level of
care through the continuum of care. A knowledge of reimbursement
related to MediCare, MediCal, Capitation, and Managed Care is
- Three years experience in clinical field of expertise with two
years experience in an acute setting is preferred.
- Current California RN License required
- Current California License in field of expertise.
- Bachelors degree in health related field.
Keywords: MemorialCare Health System, Long Beach , Registered Nurse (RN), Case Manager, Utilization Review - PD/Evenings (3PM-11PM), Other , Long Beach, California
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