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RN Case Manager

San Diego, California Apply
Job ID 1486 Date posted 01/10/2019 Schedule Full-Time Shift Regular Hours Full-Time Department Nursing; Denials Management

JOB SUMMARY:

Case Managers function as liaisons between patients, their families and internal and external health care personnel to ensure appropriate, efficient and timely health care service. Their focus includes providing clinical documentation to third party payers to facilitate authorization and reimbursement for inpatient hospital stays, coordinating discharge needs and providing information to the Quality department for their follow-up. The Case Manager advocates for the patient and family and collaborates with the health care team to facilitate appropriate movement along the continuum of care from inpatient admission to discharge.

MINIMUM QUALIFICATIONS:

Bachelor's Degree in Nursing

Current California RN license

Three years of experience

One year of pediatric experience

Competent in utilization of computers, various computer programs

Competent keyboarding skills

PREFERRED QUALIFICATIONS:

Four years of experience

Utilization review, case management, discharge planning experience

Bilingual English/Spanish

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  • Nursing, San Diego, California, United StatesRemove
  • Denials Management, San Diego, California, United StatesRemove