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Work from home RN Case Manager - Riversi
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Work from home RN Case Manager Riverside, CA .
Company: RCM Health Care Services; Location: US-CA-Riverside County .
Salary/Wage: 60,000.00 - 70,000.00 USD /year; Status: Full Time, Employee .
Job Category: Healthcare - RNs &Nurse Management; Relevant Work Experience: 2+ to 5 Years .
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Job Description .
Work from home Case Manager Riverside, CA
Well-established and highly respected managed care organization seeks experienced Nurse Case Manager. Opportunity to work from home after successful training in office.
Description
Performs care management within the scope of licensure for members with complex and chronic care needs by assessing, developing, implementing, coordinating, monitoring, and evaluating care plans designed to optimize member health care across the care continuum and ensuring member access to services appropriate to their health needs. Essential duties may include, but are not limited to: Conducts assessments to identify individual needs and a specific care management plan to address objectives and goals as identified during assessment. Implements care plan by facilitating authorizations/referrals as appropriate within benefits structure or through extra-contractual arrangements. Coordinates internal and external resources to meet identified needs.
Monitors and evaluates effectiveness of the care management plan and modifies as necessary. Interfaces with Medical Directors and Physician Advisors on the development of care management treatment plans. Negotiates rates of reimbursement, as applicable. Assists in problem solving with providers, claims or service issues. Performs other duties as assigned.
Qualifications
Requires unrestricted RN licensure in CA and 3 years clinical experience. Requires knowledge of care management assessment technique, provider community, and community resources. One year experience in home health/discharge planning preferred. Must have strong oral, written and interpersonal communication skills, PC skills to include word processing, spreadsheet, and database applications, organizational and problem-solving skills, and decision-making skills.
Salary range: $60k - $70k based on experience
Location: Riverside, CA, San Bernardino, CA
Contact Information .
Company: RCM Health Care Services .
Email: Stefanie.Sticht@rcmt.com .
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Applicant Category: Professional
Requisition Code: Work at home
Two Initials of Recruiter: bw
System Date: 07/26/2007
System Time: 21:10:28
Document Name(40): Work from home RN Case Manager - Riversi
Source: Monster.com - USA
SearchTerms: "work at home" "work from home"
URL(80): http://jobview.monster.com/getjob.asp?JobID=59220497&JobTitle=Work+from+home+RN+
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