California Licensed Case Manager Nurse
- Full-time
A company is looking for a Case Manager Nurse.
Key Responsibilities
Conduct thorough assessments of patients' needs and develop treatment plans in collaboration with healthcare providers
Monitor interventions, evaluate treatment effectiveness, and maintain communication with patients and the multidisciplinary team
Document case management activities and perform Utilization Reviews for assigned members
Required Qualifications
Graduation from an accredited RN program and a current California RN license
Minimum of five years of medical / surgical or acute care experience, including two years in case management
Preferred experience in case management, emergency room, or critical care
Knowledge of medical claims and coding (ICD-10, CPT, HCPCS)
Experience in critically evaluating claims data and discharge planning
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Nurse Case Manager • Lincoln, Nebraska, United States