Telecommute Complex Case Nurse Manager in Los Angeles

Job ID: Available for Members

Location: California

Compensation: To Be Discussed

Posted: Monday, November 05, 2018

Job Category: Healthcare, Nursing

Telecommute Level: 100% Telecommute

Travel Requirements: No Travel

Weekly Hours: Full Time

Employer Type: Employer

Career Level: Experienced

Education Level: Bachelors

Job Summary

A professional services firm is seeking a Telecommute Complex Case Nurse Manager in Los Angeles.

Must be able to:

  • Conduct and document a comprehensive assessment of member's health/psych/social needs
  • Manage and evaluate the extent to which established goals in the nursing plan of care are achieved
  • Complete nurse case-management documentation using a web-based system

Qualifications Include:

  • Current RN license for the state of California
  • 2+ years of acute clinical experience and 2+ years of complex case management experience
  • Familiarity with Milliman and InterQual guidelines
  • In-depth knowledge of current standard of medical practices and insurance benefit structures
  • Strong knowledge of case-management processes, standards, and an understanding of managed care in all lines of business
  • Proficiency in Microsoft Word