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AHMC HealthCare is seeking a Case Manager Registered Nurse located in Riverside, California. This role involves managing payments related to hospital services and coordinating with various health care providers to ensure quality patient care.
The ideal candidate will have a current California RN license, be fluent in medical terminology, and possess strong communication skills. Basic Life Support certification is also required for this position.
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.