interdisciplinary approach to providing continuity of care, including Utilization management, Transfer coordination, Discharge planning... for utilization/quality management activities based on guidelines/standards for patients in a variety of settings, including...
RN license. Computer proficiency. Preferred: Previous experience in case management preferred. Minimum of one (1...The RN Case Manager manages a continuum of care from pre-admission through post-discharge for assigned patients...
The RN Case Manager manages a continuum of care from pre-admission through post-discharge for assigned patients. Assure... utilization of hospital services, maximizing reimbursement from all third party payors, and education of medical/hospital staff...
Required: Maintain an active California RN license. Computer proficiency. Preferred: Previous experience in case management... an active California RN license. Computer proficiency. Preferred: Previous experience in case management preferred...
. A minimum of 1 year of experience is preferred in a managed care setting, preferably in utilization or case management... every day. Job Overview The nurse (RN) case manager/care coordination team leader has the responsibility to manage...
or care coordination, utilization, case/disease management experience a plus Experience with Medicaid/ Medi-Cal patients... Management will supervise and direct all levels of Care Management team that includes RN Care Managers, Lead Care Management RN...
and providing timely and accurate information to payors. The role integrates and coordinates the functions of utilization management... strategies for resolution. Evaluation Develops and evaluates case management plans and protocols in collaboration with the...
functions of utilization management, care progression and care transition. The Case Manager is accountable for a designated.... Evaluation Develops and evaluates case management plans and protocols in collaboration with the interdisciplinary team...