Job Title: Case Manager RN
Profession: Registered Nurse
Specialty: Case Manager
Duration: 13 weeks
Shift: Day
Hours per Shift: 8 hours
Experience: Minimum 2 years of relevant experience
License: RN - Registered Nurse of California
Certifications: Bachelor’s in Nursing preferred
Must-Have:
Graduate of an accredited school of nursing
2 years recent relevant experience
Broad knowledge base of health care delivery and case management within a managed care environment
Comprehensive knowledge of Utilization Review, levels of care, and observation status
Working knowledge of laws, regulations, and professional standards affecting case management practice
Ability to effectively communicate and promote collaboration between patients, families, physicians, nurses, and other partners
Strong verbal and written communication skills
Excellent time management skills
Ability to promote teamwork and function effectively in teams
Description:
The position requires a graduate of an accredited nursing school.
A Bachelor’s in Nursing is preferred.
A minimum of 2 years of recent relevant experience is required.
Candidates should have a broad knowledge base of healthcare delivery and case management in a managed care environment.
Comprehensive knowledge of Utilization Review, levels of care, and observation status is essential.
The role requires an understanding of healthcare reimbursement systems, including HMO and PPO models.
Candidates should possess knowledge of laws, regulations, and professional standards affecting case management practice.
A broad knowledge base of post-acute levels of care and associated regulatory compliance requirements is necessary.
Understanding of coding and DRG assignment processes is preferred.
The candidate must effectively communicate with various stakeholders, including patients and families.
A commitment to service excellence in all interactions is required.
The role involves promoting quality patient care and ensuring a positive patient experience.
Candidates must display strong negotiation skills and an ability to manage time effectively in a high-volume environment.
Intermediate computer and technology skills are necessary.
The ability to interact effectively using collaboration and customer service skills to promote excellence in patient experience is important.
Numbers & Facts
Location
Roseville, CA
Industry
Healthcare Services
Salary
$2,959
Company Size
1,000 to 1,499 employees
Website
https://cynethealth.com/
About Company
Cynet Health is a TJC certified MBE and one of the fastest-growing healthcare staffing firms in the US providing Health Med and Health IT staffing and consulting services to countless hospitals, SNFs, clinics, labs, CROs, health & wellness centers, pharmacies, and other medical facilities across the United States. Headquartered in Sterling, Virginia, we are a certified Minority-Owned Business Enterprise and a recognized Diversity Supplier.
Skills
Case Managementunmatched
Certified Case Manager (CCM)unmatched
Communication Skillsunmatched
Customer Support/Serviceunmatched
Diagnosis-Related Group (DRG)unmatched
Health Maintenance Organization (HMO)unmatched
Healthcareunmatched
Healthcare Reimbursementunmatched
Knowledge Baseunmatched
Managed Careunmatched
Negotiation Skillsunmatched
Nursingunmatched
Nursing Credentialsunmatched
Preferred Provider Organization (PPO)unmatched
Presentation/Verbal Skillsunmatched
Registered Nurse (RN)unmatched
Regulationsunmatched
Regulatory Complianceunmatched
Regulatory Requirementsunmatched
Team Playerunmatched
Time Managementunmatched
Utilization Managementunmatched
Writing Skillsunmatched
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