the smart solution for Simi Valley jobs

Hospital Case Manager Registered Nurse (RN)

Company: Yoh Staffing Services
Location: Simi Valley
Posted on: January 30, 2019

Job Description:

Hospital Case Manager Registered Nurse (RN) needed for a full-time, long-term opportunity with Yoh's client located in Van Nuys, CA Top Skills You Should Possess:

  • Registered Nurse license in state of California
  • Bachelor of Science degree in Nursing is required
  • Minimum of three-five (3-5) years' experience as a Registered Nurse in an acute care setting preferably in a critical care unit
  • Minimum of two-three (2-3) years' of recent experience as a Case manager in an acute care setting
  • InterQual guidelines knowledgeable is required.
  • Must be able to demonstrate the knowledge and skills necessary to provide appropriate case management specific to the age of the patients served on assigned units. Case Managers are assigned patients ranging in age from neonates to geriatrics. What You'll Be Doing:
    • Independently performs daily concurrent chart reviews on all assigned patients utilizing approved hospital criteria (Medi-Cal and managed care patients require daily review regardless of criteria recommendation).
    • Proactively call/fax daily concurrent chart reviews to managed care companies (MCO)/medical groups according to payor contract/hospital policy. Document the review was called/faxed to MCO/medical group and document the dates approved for continued stay on the review record. Ensure MCO/medical group review call-in and approval dates are entered in the Meditech System to avoid payor denials.
    • Independently performs timely retrospective chart reviews on all assigned patients utilizing approved hospital criteria. Perform managed care reviews within 24 hours of notice and TAR reviews with 24 hours of notice
    • Document concurrent TAR reviews daily. Complete retrospective TARs within five (5) business days of notification
    • Refers cases not meeting criteria (including situations involving the timely provision of services) to Physician Advisor or Medical Director as appropriate.
    • Obtains authorizations as required by third party payors for patients whose insurer has such requirements.
    • Facilitates transfer of patients to other acute care facilities as required either due to third party payor requirements or county mandated indigent program. What You Need to Bring to the Table:
      • Flexibility to work Monday-Friday 8:00 am to 5:00pm
      • BLS/CPR certified from AHA
      • Registered Nurse License in State of CA
      • BS Degree in Nursing is required
      • Must have updated MMR/Varicella Titres, Physical, PPD and Flu vaccinations.

        Keywords: Yoh Staffing Services, Simi Valley , Hospital Case Manager Registered Nurse (RN), Healthcare , Simi Valley, California

        Click here to apply!

        Didn't find what you're looking for? Search again!

        I'm looking for
        in category

Other Healthcare Jobs

Registered Nurse (RN) - 13 wk California contract
Description: Cross Country TravCorps has your next Travel Nurse contract waiting for you in California.Great positions are available for experienced ER, ICU, L
Company: cross country travcorps
Location: Santa Barbara
Posted on: 02/20/2019

Registered Nurse (RN) - Per Diem Shifts
Description: ADEX Medical Staffing is hiring Registered Nurses all specialties for Per Diem Shifts and Short
Company: ADEX Medical Staffing
Location: Altadena
Posted on: 02/20/2019

Physical Therapist (Full-time)
Description: This is a full-time,Physical Therapist position. As we are a hospital open 24/7/365 this position will also need to work one full weekend a month. The Physical Therapist provides physical therapy treatment (more...)
Company: Encompass Health
Location: Tustin
Posted on: 02/20/2019

CT Radiology Tech Per Diem Day Weekends, $3,000 Sign-on 2yr Contract
Description: Performs diagnostic medical procedures for the neonatal, infant, pediatric, adolescent, adult and geriatric patient. Prepares room and patient and assists radiologists in fluoroscopic procedures. Ensures (more...)
Company: Placentia-Linda Hospital
Location: Placentia
Posted on: 02/20/2019

Acute Rehab Travel SLP Needed in TUSTIN, CA
Description: Speech Language Pathologist x2013 Acute Rehab br br br Job Summary br br Acute rehab facility in Irvine, CA is looking for a Speech Language Pathologist to join their team for a travel assignment (more...)
Company: Preferred Healthcare Staffing
Location: Tustin
Posted on: 02/20/2019

Registered Nurse FA Surgery Full Time Day 10k Sign on Bonus
Description: Since 1972, Placentia-Linda Hospital has expanded right along with north Orange County. As our communities grow, we continue to offer a full range of medical services to meet your family s needs. One (more...)
Company: Placentia-Linda Hospital
Location: Placentia
Posted on: 02/20/2019

Licensed Therapist / Occupational Therapist Job in Santa Barbara, California
Description: This unique opportunity is at a prestigious facility looking to hire a traveling therapist. This exciting area offers
Company: Host Healthcare
Location: Santa Barbara
Posted on: 02/20/2019

SLP - Speech Language Pathologist in TUSTIN , CA
Description: ul br li Location:
Company: Ardor Health Solutions
Location: Tustin
Posted on: 02/20/2019

Ophthalmology Physician
Description: Ophthalmology opening in Lompoc, California. This and other physician jobs brought to you by Santa Barbara County, CaliforniaOphthalmology OpportunityEnjoy the Pristine California Beaches (more...)
Location: Lompoc
Posted on: 02/20/2019

Description: A facility in California is seeking a Speech Language Pathologist to join their team This temporary travel assignment offers full time hours and competitive benefits The ideal candidate
Company: Aureus Medical Group
Location: Tustin
Posted on: 02/20/2019

Log In or Create An Account

Get the latest California jobs by following @recnetCA on Twitter!

Simi Valley RSS job feeds