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RN Case Manager at Orange, CA
RN Case Manager at Orange, CAAroha Technologies, Inc • Orange, CA, United States
No longer accepting applications
RN Case Manager at Orange, CA

RN Case Manager at Orange, CA

Aroha Technologies, Inc • Orange, CA, United States
10 hours ago
Job type
  • Full-time
  • Temporary
Job description

Medical Case Manager (RN – Behavioral Health Utilization Management)

Location : On-site – Full Office | Orange, California (must have active CA RN license)

Schedule : Monday to Friday | 7 : 00 AM – 3 : 30 PM

Salary Range : ($43 – $65 / hr)

Department : BHI – Behavioral Health Utilization Management

Job Type : Temporary (Z Temp) | Full-Time

About The Role

Join a mission-driven team focused on serving communities with compassion, dignity, and respect. As a Medical Case Manager (RN) , you'll support Behavioral Health Utilization Management efforts through clinical review, coordination, and administrative functions. You’ll help ensure members receive appropriate, timely, and high-quality care.

Key Responsibilities

Utilization Management (85%)

  • Review medical requests for appropriateness using established clinical protocols.
  • Coordinate with Medical Directors on review cases and relay decisions to providers / members.
  • Ensure accurate documentation and data entry into UM systems.
  • Collaborate with health networks, providers, and customer service teams.
  • Support Transition Care Management (TCM) activities.
  • Review ICD-10, CPT, and HCPCS codes for authorization and coverage validation.

Administrative Support (10%)

  • Support leadership in identifying training needs and maintaining reference materials.

    • Additional Duties (5%)

  • Perform other related responsibilities and projects as assigned.

    • Requirements

    Minimum Qualifications :

  • Associate degree in Nursing (ADN) or related field.
  • At least 3 years of clinical RN experience.
  • Experience as a Utilization Management reviewer.
  • Active and unrestricted California RN license.

    • Preferred

  • Experience in a managed care environment.
  • Behavioral health clinical experience.

    • Skills & Competencies

  • Strong communication and documentation skills.
  • Ability to manage multiple tasks in a fast-paced environment.
  • Proficient with Microsoft Office and clinical review systems.
  • Capable of building relationships with diverse stakeholders.

    • Work Environment

  • Office-based with standard business hours.
  • Occasional travel or flexibility may be required depending on department needs.
  • Moderate noise level with no hazardous conditions.

    • Interested?

    Thanks & Regards,

    Ashu

    Sr. Healthcare Recruiter

    Direct : 510-455-4427

    Email : ashu@arohatechnologies.com

    Aroha Technologies Inc.

    5000 Hopyard Rd Suite - 415

    Pleasanton, CA - 94588

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    Rn Case Manager • Orange, CA, United States