Inpatient Care Utilization RN - Case Management

Healthcare Support Staffing; South San Francisco (CA); On-site; USD 55,104 - 57,859; Full time

Job summary

A leading healthcare staffing firm in South San Francisco seeks a skilled professional to manage care transitions for acutely and chronically ill patients. The role involves coordinating an interdisciplinary approach, providing utilization management, and ensuring continuity of care. Required qualifications include an Associate's degree in Nursing and familiarity with Milliman or Interqual guidelines. This contract position offers competitive compensation of $40-$42/hr, with potential for permanence after a 1-2 month term.

Qualifications

• Experience with using Milliman or Interqual guidelines.
• Knowledge of Medicare and Medi-Cal programs.

Responsibilities

• Manage acutely and chronically ill members to improve quality outcomes.
• Coordinate an interdisciplinary approach to support continuity of care.
• Provide utilization management and discharge planning.
• Complete post-discharge assessments and schedule appointments.

Education

Associates of Nursing

Tools

Milliman guidelines

Interqual guidelines

Job description

A leading healthcare staffing firm in South San Francisco seeks a skilled professional to manage care transitions for acutely and chronically ill patients. The role involves coordinating an interdisciplinary approach, providing utilization management, and ensuring continuity of care. Required qualifications include an Associate's degree in Nursing and familiarity with Milliman or Interqual guidelines. This contract position offers competitive compensation of $40-$42/hr, with potential for permanence after a 1-2 month term.