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Registered Nurse RN Case Manager II - Cap Utilization Management - Part-Time/Nights

Long Beach, CA, United States

Posted on
Nov 29, 2021

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Registered Nurse (RN), Case Manager II - Cap Utilization Management - Part-Time/Nights','LON008360','!*!Position Summary:


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 reimbursement. ','!*!Qualifications/Experience/Education:

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 required
Three years experience in
clinical field of expertise with two years experience in an acute setting
is preferred.
Current California RN License
Current California License in
field of expertise.
Bachelors degree in health
related field.
','United States-California-Long Beach','','Case Mgmt, Utilization Review','Long Beach Memorial Medical Center','Part-time','Regular','Staff','','Nov 29, 2021','8/80 work shift hours (hospital)','8/80 work shift hours (hospital)','CNA','CNA','Night Job','2300','2300','0730','0730','Cap Utilization Management','Cap Utilization Management','Registered Nurse (RN), Case Manager II - Cap Utilization Management - Part-Time/Nights

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