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Staff - Registered Nurse RN - Case Management - 70K - 91K Per Year
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Full-time
- Kaiser Permanente is seeking a Registered Nurse (RN) Case Management for a nursing job in Rex, Georgia.
- The activities will include daily review of hospital care by chart review and discussion with attending physician, admission and concurrent review for inpatient admissions, meetings with patient and families to develop discharge planning, identification of patients for ambulatory case management, communication with case managers, home care reviewers, social workers, members and providers, quality improvement reviews, and education of the member/family, provider and hospital staff.
- Builds highly effective working relationships with physicians, SNF staff, vendors, and other departments within the health plan.
- Knowledge of the Nurse Practice Act, TJC, DMHC, CMS, NCQA, HIPPA, ERISA, EMTALA & all other applicable federal/state/local laws & regulations.
- Minimum two (2) years of experience in utilization review, case management, and discharge planning preferred.
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