KPC GLOBAL MEDICAL CENTERS INC.
Location
Anaheim, California
Salary
$50 - $74 / HOUR
The RN Case Manager reviews inpatients to determine admission and continued stay criteria, and is responsible for formulating discharge plans after interviewing patients and family members regarding their needs. This role involves collaboration with physicians, nursing, ancillary staff, and payers, along with documenting medical reviews in the QRS system for various financial classes.
Candidates must possess a California RN license and are preferred to have experience in Case Management and recent acute hospital settings. Knowledge of Interqual Criteria, Medicare, MediCal, and Insurance regulations is also preferred, alongside good written and verbal communication skills.
1. CA RN license 2. Case Management experience preferred 3. Recent acute hospital experience preferred 4. Knowledge of Interqual Criteria, Medicare, MediCal and Insurance regulations preferred 5. Good written and verbal communication skills
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