Case Manager RN

AHMC HealthCare; Riverside (CA); On-site; USD 90,000 - 115,000; Full time

Job summary

AHMC HealthCare seeks a Case Manager Registered Nurse to manage the preparation, recording and tracking of payments for hospital services. The role involves handling calls from insurers, SNFs, home health agencies and other providers, ensuring smooth prioritization for quality patient care.

It also coordinates with Discharge Planners for continuum of care, including DME and levels of care. Applicants must hold a CA RN license, type 45–55 wpm, and have strong medical terminology, with proficient

Qualifications

• Strong communication and written grammatical skills.
• Proficient typing 45–55 words per minute.
• Working knowledge of medical terminology.
• Current CA RN license and BLS certification.

Responsibilities

• Prepare, record and track initial and retrospective payments for hospital services.
• Answer, direct and record departmental calls from insurers, SNFs, home health agencies and other providers.
• Coordinate with Discharge Planners for continuum of patient care, including DME and levels of care.

Skills

Communication skills

Medical terminology

Typing speed 45-55 wpm

Education

CA RN license

BLS Certification

Job description

The Case Manager Registered Nurse is primarily responsible for the preparation, recording and tracking of initial and retrospective payments for hospital services.

Answers, directs and records departmental phone calls from a variety of sources (Insurance companies, Skilled Nursing Facilities, Home Health Agencies, Durable Medical Equipment, other health care providers, etc.) understanding priorities for the delivery of quality patient care. Coordinates with Discharge Planners for continuum of patient care, for example, durable medical equipment (DME) and Levels of Care.

Current CA RN license. Must be able to type a minimum of 45-55 wpm. Fluent in medical terminology. Must have strong communication and written grammatical skills. Current Basic Life Support (Healthcare Provider) certification.