Job Description Care Manager III (RN) openings with a major health insurance / managed care company based in the Los Angeles, CA 91367 area Starting ASAP Apply now with Luke H.
at A-line Position will start remote until at least Jan 2022, then hybrid schedule TBD in office out of Los Angeles, CA 91367 Description of Position: Daily Responsibilities: Engage/enroll new members in Case Management.
Complete assessments, create care plans, document calls with members.
Assist members with coordination of care and navigating health care system.
Performance expectations/metrics: Ramp up to, and maintain Caseload of 70 open/active cases.
Complete minimum of 15-20 member calls/tasks per day.
Keep queue up-to-date, without overdue tasks.
What previous job titles or background work will in this role?
Discharge planning, case management, home health, hospice Pay Rate: $42-$50/hour (determined on experience) Hours: Monday-Friday from 8am to 5pm Required Qualifications: Must be a Licensed Registered Nurse in California Must have solid Case management experience Graduate from an Accredited School of Nursing.
2 years of Hospital/Inpatient Nursing.
Preferred Qualifications: Prior experience working in Health Plan Case Management and/or Discharge Planning/Utilization Management Prior experience working in Home Health and/or Hospice Knowledge of healthcare and managed care preferred.
Prior experience working in a remote role preferred.
Bachelor’s degree in Nursing preferred.
Bilingual in Spanish and English is preferred.
Why Apply with A-Line: Full benefits available after 90 days: Medical, Dental, Vision, Life, Short-term Disability 401k after 1 year of employment: With employer match and profit sharing GREAT Hours Monday through Friday, 40 hours per week, No Weekends Competitive Pay Rate Keywords: Care Manager RN, Prior Authorization Nurse, PA Nurse, Medicare, Medicare Review, CMS, Medicaid, BSN, ASN, ADN, MSN, Case Management, URAC, Authorization Nurse, Intake Coordination, Discharge Planning, Utilization Management, Utilization Review, Home Healthcare, Medical Billing, Medical Coding, Provider Services, Member Services, CMS, Managed Care, MCO, Benefit Verification, LVN, Licensed Vocational Nurse, Clinical Care, Clinical Service, Clinical Coordinator, Nurse, Mail Order Medications, Insurance Verification, Pharmacy, Prior Authorization, Reimbursement Counselor, Medical Customer Service, Healthcare, Inbound Calls, Outbound Calls, Medicare, Medicaid, Care Manager RN, Prior Authorization Nurse, PA Nurse, Medicare, Medicare Review, CMS, Medicaid, BSN, ASN, ADN, MSN, Case Management, URAC, Authorization Nurse, Intake Coordination, Discharge Planning, Utilization Management, Utilization Review, Home Healthcare, Medical Billing, Medical Coding, Provider Services, Member Services, CMS, Managed Care, MCO, Benefit Verification, LVN, Licensed Vocational Nurse, Clinical Care, Clinical Service, Clinical Coordinator, Nurse, Mail Order Medications, Insurance Verification, Pharmacy, Prior Authorization, Reimbursement Counselor, Medical Customer Service, Healthcare, Inbound Calls, Outbound Calls, Medicare, Medicaid.