Case Manager (LVN or RN) (18-00378) - CA - Covina
at RCM Health Care Services

Date Posted: 7/24/2020

Job Description

Leading Managed Care organization with a highly professional office environment is seeking a Case Manager (RN or LVN) 

Case Manager (RN or LVN)

Job Description:
  • Manage the utilization of healthcare services and resources for each patient across our continuum of care.
  • Obtain appropriate clinical review on all admissions, to determine medical necessity for acute hospitalization and SNF and sub-acute admissions.
  • Visit contracted hospitals on a regular basis to assist with patient throughput, develop relationships with hospital staff, and assist hospitalist with task necessary to facilitate a timely discharge.
  • Liaison with Medical Director for review of all acute inpatient cases daily.
  • Actively participate in referrals to appropriate Disease Management Programs and identify/'report patients with high risk needs that would benefit from our case management programs.
  • Participates in Quality Assurance Programs as needed

  • CA LVN or RN
  • Must have prior Case Management experience in Managed Care or Hospital environment
  • Excellent communication skills when interacting with physicians, patients, and service providers
  • Working knowledge of NCQA, CMS and health plan requirements related to Utilization and Quality Management.

  • Competitive Salary, flexible based on experience
  • Full benefits package which includes employer paid medical, pharmacy and dental benefits. Generous PTO package, 401k Retirement Savings, Life Insurance, Flexible Spending Account (FSA), Tuition Reimbursement & Licensed Renewal Fees for clinical staff

Job Snapshot

  • Employee Type: Contractor
  • Location: Covina, CA
  • Job Type: Management
  • Experience: Not Specified
  • Date Posted: 7/24/2020

About Us

RCM Health Care Services offers career defining opportunities to candidates from the leading employers in health care. Whether you’re looking for a new job or seeking to hire the best medical talent, RCM Health Care Services has the solution for you. Since 1975, we’ve established ourselves as a leader in the recruitment industry by connecting thousands of healthcare professionals with placements that support their needs. If you’re looking to make the next move in your career, let RCM be your guide, we’re with you every step of the way!

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