RN Case Managers Needed in Orange!
RN Case Manager
Want to work for one of the highest rated best companies to work for in Orange County? Have a passion for healthcare and helping others. Looking for a large organization to build your career? You have found the perfect match!
Large multi-facility with multi-specialty medical group has an immediate need for a RN Case Manager. Company provides a fun team environment with employee activities, rewards, and community involvement opportunities. RN Case Manager is based out of corporate office in Central Orange County.
RN Case Manager Key Responsibilities:
Reviewing cases to insure all guidelines were met for insurance companies
Confirming proper eligibility and authorizations were received
Reviewing denials and correcting language for appeals
Reviewing referrals received
Researching cases and steps taken
Generating reports on various cases
Suggesting corrections for future issues and cases
Communicating with Physicians as needed
Abstracting and reviewing charts
Insuring timelines were met for authorization processes
Assisting with other projects as needed
Sherlock Holmes investigating and detail skills!
Passionate about Healthcare and helping others
Current CA RN
RN Case Management experience preferred
HS Diploma or GED