Case Manager RN

AHMC HealthcareRiverside, CA
Onsite

About The Position

The Case Manager Registered Nurse is primarily responsible for the preparation, recording and tracking of initial and retrospective payments for hospital services. This role involves answering, directing, and recording departmental phone calls from various sources such as insurance companies, Skilled Nursing Facilities, Home Health Agencies, Durable Medical Equipment providers, and other health care providers, while understanding priorities for quality patient care. The Case Manager RN also coordinates with Discharge Planners to ensure continuum of patient care, including durable medical equipment (DME) and Levels of Care.

Requirements

  • Current CA RN license.
  • Must be able to type a minimum of 45-55 wpm.
  • Fluent in medical terminology.
  • Must have strong communication and written grammatical skills.
  • Current Basic Life Support (Healthcare Provider) certification.

Responsibilities

  • Preparation, recording and tracking of initial and retrospective payments for hospital services.
  • Answers, directs and records departmental phone calls from a variety of sources (Insurance companies, Skilled Nursing Facilities, Home Health Agencies, Durable Medical Equipment, other health care providers, etc.) understanding priorities for the delivery of quality patient care.
  • Coordinates with Discharge Planners for continuum of patient care, for example, durable medical equipment (DME) and Levels of Care.

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What This Job Offers

Job Type

Full-time

Career Level

Mid Level

Education Level

Associate degree

Number of Employees

1-10 employees

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