RN Case Managers Needed in Orange!

Employer
Medical Professionals
Location
Irvine, CA, US
Salary
Competitve
Posted
Sep 13, 2017
Closes
Oct 11, 2017
Ref
40259f121
Specialty
Miscellaneous
Contract Type
Permanent
Job Description

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

Special Talents:

Sherlock Holmes investigating and detail skills!

Well organized

Service oriented

Passionate about Healthcare and helping others

Requirements:

Current CA RN

RN Case Management experience preferred

HS Diploma or GED

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