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RN Outpatient Case Manager Needed For San Francisco, CA Based Physician Group
Eligibility : Bachelor of Science
Location : San Francisco, CA
Designation : RN - Outpatient Case Manager
Details ::
Established physician group based in San Francisco, CA has an immediate need for a full time RN Case Manager. RN Case Manager will be responsible for care coordination and case management for a specific population of members. Registered Nurse Case Manager will also provide coordination of an appropriate plan of care, working collaboratively with the member, member’s family or significant others, health plan representatives, Physician, home health care providers, and other appropriate multidisciplinary healthcare professionals to coordinate care to meet the patient’s overall care requirements. Additionally, the RN Case Manager facilitates the authorization of in-patient and outpatient services, including surgical procedures, home care services and durable medical equipment requests. The position assures that authorizations meet payer requirements, follow appropriate policies and procedures and are medically necessary, utilizing approved guidelines. Outpatient RN Case Manager will also be cross-trained to cover other needs when required.

Position requires current California RN license in good standing with the nursing board. RN must have recent Acute Care RN experience and prior work experience in a managed care environment (preferably in an HMO or IPA setting). Certified Case Manager (CCM) a plus. Excellent verbal and written communication skills and proficiency in Windows-based applications, strong organizational skills, ability to prioritize, strong negotiation skills, flexibility and ability to work independently and ability to maintain a high volume workload. This is a full time Monday - Friday office based position in San Francisco, CA.


Must be authorized to work in the United States on a full-time basis for any employer.

Salary : $80,000 - $90,000
Company URL : N/A
Last Date : 0000-00-00
Address: N/A
       
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