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Case Management Nurse

Location: Oxnard, CA, United States
Job # 12162080
Date Posted: 04-05-2019
Case Management Nurse
Oxnard, CA 93036
$38 per hour
2-month contract

As the Case Management Nurse you will coordinate the team approach to management of patient care on an in-patient as well as outpatient basis. This position works closely with the department manager and the Medical Director to evaluate, monitor and assure the appropriateness and medical necessity of selected care for members as it relates to quality, continuity and cost effectiveness. You will assist staff in maintaining balance between the needs of the patient, physician, IPA and contracted health plan.
  • Acute care experience preferred.
  • Concurrent review experience preferred LVN or RN
  • Experience managing utilization and, if necessary, discussing utilization of service and standards of patient management.
  • Ability to prioritize and organize work area despite multi-faceted task directions and interruptions.
  • Experience and understanding of the confidentiality of medical records. A
  •  thorough understanding of the managed care environment from the perspective of the member, physician and hospital.
  • Ability to handle difficult people/situations.
  • Excellent interpersonal skills with the ability to interface with physicians, hospital staff, members and health plan in a tactful, informed and customer-oriented manner.
  • Strong written and verbal communication skills.
Please submit your resume for consideration!

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