California Licensed Case Manager RN

A company is looking for a Part Time Case Manager Nurse, RN.

Key Responsibilities

Conduct thorough assessments of patients' needs and develop treatment plans

Monitor treatment effectiveness and maintain communication with patients, families, and healthcare providers

Document case management activities and perform Utilization Review 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

Prefer 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