Case Manager, Full Time, Days Shift (8 hours)
KPC GLOBAL MEDICAL CENTERS INC.•Anaheim, CA
About The Position
The RN Case Manager is responsible for reviewing inpatients for admission criteria and continued stay criteria. Formulates discharge plan, interview patients and family members for discharge needs. Collaborates with physicians, nursing and ancillary staff as well as payers. Enters medical reviews into QRS system. Documents appropriate reviews for all patients, Medi-cal, Medicare, IMS and cash as well as other financial classes.
Requirements
- CA RN license
Nice To Haves
- Case Management experience preferred
- Recent acute hospital experience preferred
- Knowledge of Interqual Criteria, Medicare, MediCal and Insurance regulations preferred
- Good written and verbal communication skills
Responsibilities
- reviewing inpatients for admission criteria
- reviewing inpatients for continued stay criteria
- formulating discharge plans
- interviewing patients and family members for discharge needs
- collaborating with physicians
- collaborating with nursing staff
- collaborating with ancillary staff
- collaborating with payers
- entering medical reviews into QRS system
- documenting appropriate reviews for all patients
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What This Job Offers
Job Type
Full-time
Education Level
No Education Listed
