Care Manager II (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 Daily Duties / Job Summary: Manage their own day and being assigned to members Making and taking calls from members Managing cases and giving medical advice.
We give members, education, empowering them to take control and navigate the system to manage The person needs to be able to adjust to change as things change daily Performance expectations/metrics: Performance is measured by audits.
They must have good documentation and they will be evaluated by their presentation at rounds and how compliant they are with each case.
They will receive feedback and guidance on their work.
Pay Rate: $35-$45/hour (determined on experience) Hours: Mon-Fri 7am-3pm (flexible with start times) Required Qualifications: Must be a Licensed Registered Nurse in California Must have solid Case management experience Graduate from an Accredited School of Nursing.
Bachelor’s degree in Nursing preferred.
2 years of clinical nursing experience in a clinical, acute care, or community setting.
Knowledge of healthcare and managed care preferred.
Prior experience working in a remote role preferred.
Bilingual in Spanish and English is preferred.
Why Apply: 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, 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.
Job Requirements: Required Qualifications: Must be a Licensed Registered Nurse in California Must have solid Case management experience Graduate from an Accredited School of Nursing.
Bachelor’s degree in Nursing preferred.
2 years of clinical nursing experience in a clinical, acute care, or community setting.
Knowledge of healthcare and managed care preferred.
Prior experience working in a remote role preferred.
Bilingual in Spanish and English is preferred.
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, 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.