Previous Job
Previous
Inpatient Case Manager (RN or LVN)
Ref No.: 16-11047
Category: Permanent Placement
Location: Orange, California
Leading Managed Care organization with a highly professional office environment is seeking an Inpatient Case Manager (RN or LVN) for a mostly telephonic role. Multiple locations available!

Inpatient 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

Qualifications:
  • CA RN (Registered Nurse) or LVN required
  • 3+ years of Acute Care experience
  • 1+ years Utilization Review, Case Management and/or Prior Authorizations
  • Excellent communication skills when interacting with physicians, patients, and service providers

Compensation:
  • Generous Salary plus bonus, 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