Job Title: Case Manager RN
Profession: Registered Nurse
Specialty: Case Management
Duration: 13 weeks
Shift: Day
Hours per Shift: 8
Experience: Minimum of 2 years recent relevant experience
License: RN-Registered Nurse of California
Certifications: Required certifications as applicable
Must-Have:
- Graduate of an accredited school of nursing
- Bachelor's in Nursing preferred
- Broad knowledge of health care delivery and case management within a managed care environment
- Comprehensive knowledge of Utilization Review, levels of care, and observation status
- Awareness of healthcare reimbursement systems including HMO, PPO, PPS, CMS, and alternative payment systems
- Working knowledge of laws, regulations, and professional standards affecting case management practice
- Ability to communicate effectively and promote collaboration with patients, families, physicians, nurses, and other partners
- Strong verbal and written communication skills and negotiation skills
- Excellent time management skills in a high-volume environment with changing priorities
- Intermediate computer and technology skills
- Ability to function effectively in teams
Description:
The Case Manager RN will utilize a broad knowledge base of health care delivery and case management within a managed care environment.
The RN will perform Utilization Review and assess levels of care and observation status.
An understanding of healthcare reimbursement systems is essential for this role.
The RN should have a working knowledge of relevant laws, regulations, and professional standards.
Knowledge of post-acute levels of care and regulatory compliance requirements is preferred.
The RN will effectively communicate and collaborate with patients, families, physicians, and other healthcare team members.
Demonstrating a commitment to service excellence in all interactions is crucial for this position.
The RN will promote quality patient care and assure a positive patient experience.
Strong communication, negotiation, and time management skills are necessary for success in this role.
Intermediate computer skills and the ability to work independently are important.
Candidates must be capable of fostering teamwork and collaboration to enhance the patient experience.
Numbers & Facts
Location
Roseville, CA
Industry
Healthcare Services
Salary
$2,966
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
Computer Skillsunmatched
Content Management Systems (CMS)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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