DIRECT HIRE OPPORTUNITY for stellar Nurse Case Managers in the San Diego, CA area working with a Regional Workers Compensation Case Management company. This role combines the best of both worlds combining telephonic and field work together to offer variety in this position. In this role as a Nurse Case Manager, you will engage in case review and audits working directly with members and primary care physicians to ensure care plans are established, managed and members receive the highest quality of ...
Provide support to providers and patients. Review medication refill requests, complete prior authorizations as needed, consult with providers and pharmacists, and authorize requests. Facilitate the completion of forms presented by patients to provider. Review laboratory results and assist the providers and support staff to ensure appropriate action is taken. Administer medications and immunizations. Provide staff education and assist the clinical trainers in the ...
The Director of Care Management supports the vision of the total healing environment and the values of integrity, accountability, respect, quality and commitment while providing direction and leadership in the development and coordination of the Care Management Department and supervising nurse care managers and social workers.
Master's Degree preferred
Electronic Medical Record (EMR) experience preferred; Cerner strongly preferred
Required Qualifications ...
Responsible for providing premiry healthcare to patients and families, focusing on health maintenance, disease prevention, patient education and counseling.
Works under direct supervision of a physician, following established guidelines as required and within established scope of practice.
Experience in an ortho/spine office or hospital setting, preferably one who has coordinated a joint/spine program.
Education: MSN or equivalent degree necessary to obtain APN certification.
Technical Skills: ...
Optimum Health Enterprises (OHE), is a holistic services organization providing healing colon-hydro-therapy to client located at the Optimum Health Institute (OHI). We provide a work environment that thrives on personal respect and teamwork. We are passionate about what we do, value holism, generosity, relationships, stewardship, service and life long learning. We value our employee's unique talents and diverse perspectives and encourage their professional growth.
Large Managed Care Healthcare Organization seeking experienced RN Telephonic Case Managers and RN Field Case Managers in the Sacramento, CA area
Direct Placement/ Permanent Position
5+ positions available for Telephonic Case Management - in office position in Imperial, CA.
· Conducting PEDIATRIC/ Child Welfare case management for the Medicaid/ Medicare population
· Experience with CCS preferred.
· Conduct authorizations for patient ...
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