Position Requirements Include: Certified by the Board of Nursing and has an active California license to practice. Minimum of 5 years primary care and comfortable with differential diagnosis. A caring and compassionate person who loves helping others.
A healthcare staffing firm has a current position open for a Telecommute Healthcare Case Manager. Candidates will be responsible for the following: Assessing the member’s current health status, resource utilization, past and present treatment plan and services Coordinating services between
Graduate of an approved program of Nursing. Active, unrestricted RN license in state of California. Experience in a managed care setting. Three years supervisory/management experience in a health care environment. Evidence of have attained certification in Case Management (CMC) (CCMC) or (CMAC)
Associate’s Degree or higher. 2+ year’s experience in either insurance or hospital UM or appeal experience. Strong acute Utilization Review experience. Experience with Milliman (MCG) or InterQual. RN licensure- Licensed to work California and Nevada payors.