Registered Nurse (RN), Case Manager II, Cap Utilization Management - PT/Nights - Long Beach
Location: Long Beach, California
Schedule: Part-time
Shift: Part-time
Job Listing: LON009894
Position Summary:
To provide safe, cost-effective patient care through the health experience, according to established standards utilizing the nursing process, within the scope of practice of Registered Nursing. The case manager is a licensed professional who coordinates and facilitates the ongoing care and appropriate discharge plan of a specific caseload of patients through the continuum of care. The case manager collaborates with members of the health care team, the patient, and their family to assure effective, efficient, and appropriate care and outcomes. Fiscal responsibilities include management of utilization, providing clinical information to payors and assuring appropriate reimbursement.
Pay Range: $45.61/hr - $70.34/hr
Placement in the pay range is based on multiple factors including, but not limited to, relevant years of experience and qualifications. In addition to base pay, there may be additional compensation available for this role, including but not limited to, shift differentials, extra shift incentives, and bonus opportunities. Health and wellness is our passion at MemorialCare—that includes taking good care of employees and their dependents. We offer high quality health insurance plan options, so you can select the best choice for your family. And there’s more...Check out our MemorialCare Benefits for more information about our Benefits and Rewards.
Qualifications/Experience/Education:
- This position requires strong verbal and written communication skills with the ability to communicate well with people from diverse socioeconomic backgrounds. The case manager is knowledgeable of criteria for medical necessity for each level of care through the continuum of care. A knowledge of reimbursement related to MediCare, MediCal, Capitation, and Managed Care is required
- Three years experience in clinical field of expertise with two years experience in an acute setting is preferred.
- Current California RN License required
- Current California License in field of expertise.
- Bachelors degree in health related field.
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"I love working at Miller Children's & Women's Hospital Long Beach because I value working for a company that invests in its employees and the community we serve. From the support and guidance I receive from managers who value my professional and personal growth; to being able to work alongside colleagues who are dedicated to help their patients and families. I feel inspired every day to do the work that I love alongside people who share a similar vision."
