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HealthCare Support
Sacramento, CA, United States
RN Case Manager HealthCare Support is actively seeking a RN Case Manager for a 13-week contract located in Sacramento, California. Benefits of this RN Case Manager with HealthCare Support: Immediate enrollment in Health Insurance Dental Insurance Life Insurance Employee Assistance Program (EAP) Access to open investment accounts Licensure a
Job Source: HealthCare SupportTalent Healthcare Staffing
Sacramento
Job Description: The Clinical Liaison maintains a regular and ongoing presence with SNF and Home Health Agencies to build and maintain strong, trusting, and professional working relationships to improve total post-acute cost of care and improve patient quality and satisfaction. Minimum Qu...
Job Source: Talent Healthcare StaffingKaiser Permanente
Roseville, CA, United States
Please be aware that this position is currently under review as part of the jurisdictional process with the California Nurses Association to determine whether such position should be assigned to the CNA bargaining unit. This review is on a position-by-position basis and includes an analysis of the actual duties performed in each position under revi
Job Source: Kaiser PermanenteMolina Healthcare
Sacramento
**CASE MANAGER REGISTERED NURSE for our CALIFORNIA Health Plan.** **Candidates must live in the state of California in Sacramento County, LA COUNTY, San Diego County, San Bernardino or Riverside COUNTY.** **Bilingual Spanish preferred.** **We are looking for an RN with at least 1 year of relevant Case Management experience. Ambulatory Case Manageme
Job Source: Molina HealthcareSalvation Army
Sacramento, CA, United States
The Salvation Army Mission Statement: The Salvation Army, an international movement, is an evangelical part of the universal Christian Church. Its message is based on the Bible. Its ministry is motivated by the love for God. Its mission is to preach the gospel of Jesus Christ and to meet human needs in His name without discrimination. BASIC PURPO
Job Source: Salvation ArmyInsight Housing LLC
Sacramento, CA, United States
Description Compensation: $28.32/hour Free Dental & Vision 19 Paid Holidays- Including 4 Mental Health Days (guaranteed paid holiday each month and most months a 3-day weekend! Retirement Plan with a match Paid Training 10-year anniversary sabbatical Flexible Spending Accounts Professional Development Allowance Paid Parental Leave benefit Discount
Job Source: Insight Housing LLCWestCare Foundation
North Highlands, CA, United States
Job Details Job Location North Highlands - 4616 Roseville Road - North Highlands, CA Position Type Full Time Education Level High School Salary Range $24.15 - $24.15 Hourly Job Category Nonprofit - Social Services Description POSITION SUMMARY: Person in this position will be responsible for the case management of a large caseload of partici
Job Source: WestCare FoundationLife Skills Training and Educational Programs
Sacramento, CA, United States
Job Details Job Location Sacramento Downtown - Sacramento, CA Position Type Full Time Education Level 4 Year Degree Salary Range $26.00 - $28.00 Hourly Job Shift Day Job Category Nonprofit - Social Services Description Join our team and make a difference in people's lives! We're looking for a part-time Intensive Case Manager (ICM ) for th
Job Source: Life Skills Training and Educational ProgramsSacramento, CA, United States
Job Summary:
Please be aware that this position is currently under review as part of the jurisdictional process with the California Nurses Association to determine whether such position should be assigned to the CNA bargaining unit. This review is on a position-by-position basis and includes an analysis of the actual duties performed in each position under review. This determination will be made within the next several months. Should the determination be made that the position does belong to the CNA bargaining unit, you will be offered the opportunity to (a) follow the work into the CNA bargaining unit and become a member of the union, or (b) seek other employment within the organization. Should you have any questions regarding this notice, please contact your recruiter for further information. Coordinates with physicians, staff, and non-Kaiser providers and facilities regarding patient care. In conjunction with physicians, develops treatment plan, monitors all clinical activities, makes recommendations for alternative levels of care, identifies cost-effective protocols, and develops guidelines for care.
Essential Responsibilities:
Plans, develops, assesses, and evaluates care provided to members. Develops and maintains case management policies and procedures. Coordinates, directs, and performs concurrent and retrospective reviews, and monitors level and quality of care.
Coordinates the interdisciplinary approach to providing continuity of care, including utilization management, transfer coordination, discharge planning, and obtaining all authorizations/approvals as needed for outside services for patients/families.
Consults with internal and external physicians, health care providers, discharge planning and outside agencies regarding continued care/treatment or hospitalization.
Coordinates repatriation of patients and monitors their quality of care.
Arranges and monitors follow-up appointments. Encourages member to follow prescribed course of care (e.g., drug therapy, physical therapy). Makes referrals to appropriate community services.
Identifies and recommends opportunities for cost savings and improving the quality of care across the continuum.
Develops and collects data, and trends utilization of health care resources.
Interprets regulations, health plan benefits, policies, and procedures for members, physicians, medical office staff, contract providers, and outside agencies.
Coordinates transmission of clinical and benefit treatment to patients, families and outside agencies.
Acts as liaison for outside agencies, non-plan facilities, and outside providers. In conjunction with physicians, evaluates and develops treatment plans, recommends alternative levels of care, and ensures compliance with federal, state, and local requirements.
Kaiser Permanente conducts compensation reviews of positions on a routine basis. At any time, Kaiser Permanente reserves the right to reevaluate and change job descriptions, or to change such positions from salaried to hourly pay status. Such changes are generally implemented only after notice is given to affected employees.
Basic Qualifications:
Experience Basic Qualifications:
N/A
Education Graduate of an accredited school of nursing.
Bachelors degree in nursing or health related field, OR four (4) years of experience in a directly related field.
High School Diploma or General Education Development (GED) required.
License, Certification, Registration Registered Nurse License (California)
Additional Requirements: Knowledge of Nurse Practice Act, The Joint Commission and other federal/state/local regulations.
Must be able to work in a Labor/Management Partnership environment.
Preferred Qualifications: Minimum six (6) months of previous case management experience preferred.
Experience in utilization management, discharge planning, or transfer coordination.
PHN preferred.
Masters degree preferred.
Additional Preferred Qualifications:
• Must have previous skilled nursing, case management. and utilization manageme
Email Alert for Case Manager RN jobs in Sacramento, CA, United States
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