RN Case Manager - Telephonic in Managed Care

PriMed Management Consulting Services, Inc.; Sacramento (CA); Sur place; USD 100 000 - 123 000; Plein temps

Résumé du poste

PriMed Management Consulting Services, Inc., on behalf of Hill Physicians Medical Group, is seeking a Registered Nurse with case management experience in Northern California. You will support PPO members, assess needs, coordinate care, and document in Epic to ensure quality and cost-effective outcomes.

The role is full-time and on-site in California, requiring an active RN license and experience in managed care.

Qualifications

• Minimum three years clinical nursing experience in relevant care areas.
• Two years in case management or related managed care settings.
• California RN license; case management certification preferred.

Responsabilités

• Collaborate with health plans to maximize at-risk member quality and cost management.
• Assess physical and psychosocial needs and develop a care plan.
• Coordinate care and document in Epic; maintain privacy and comply with standards.
• Coordinate internal/external resources and update care plans as needed.
• Attend in-service programs and perform other duties as assigned.

Connaissances

Clinical nursing

Case management

Communication skills

Independent work

Time management

ICD-9/CPT knowledge

Formation

A.S. degree

California RN licensure

Case management certification preferred

Outils

Epic

Personal computers

Description du poste

PriMed Management Consulting Services, Inc., on behalf of Hill Physicians Medical Group, is seeking a Registered Nurse with case management experience in Northern California. You will support PPO members, assess needs, coordinate care, and document in Epic to ensure quality and cost-effective outcomes.

The role is full-time and on-site in California, requiring an active RN license and experience in managed care.