Inpatient Case Manager & Discharge Planning RN

Healthcare Support Staffing; San Leandro (CA); On-site; USD 60,000 - 80,000; Full time

Job summary

A national healthcare staffing firm in San Leandro is seeking a professional to manage in-patient review and discharge planning. The role involves coordinating case management activities and interfacing with various medical and healthcare staff to expedite discharge processes. Candidates should have Utilization Management and Case Management experience, along with critical thinking and clinical judgment skills. This position offers valuable opportunities in healthcare coordination and management.

Qualifications

• Utilization Management and Case Management experience.
• Understanding of healthcare benefits for Medi-Cal, Medicare, and Commercial lines.
• Experience with inpatient concurrent review for complex medical patients.

Responsibilities

• Manage and coordinate post-discharge needs and case management activities.
• Interface with medical staff, HMO’s, and families to expedite discharge processes.
• Write denial letters and Notices of Action using HMO templates.

Skills

Utilization Management

Case Management

Critical Thinking

Clinical Judgment

Job description

A national healthcare staffing firm in San Leandro is seeking a professional to manage in-patient review and discharge planning. The role involves coordinating case management activities and interfacing with various medical and healthcare staff to expedite discharge processes. Candidates should have Utilization Management and Case Management experience, along with critical thinking and clinical judgment skills. This position offers valuable opportunities in healthcare coordination and management.