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License, Certification, Registration Registered Nurse License (California) Basic Life Support Additional Requirements: Demonstrated ability to utilize/apply the general and specialized principles, practices, techniques and methods of Utilization review/management, discharge planning or case management.
$59.6 - $72.94 an hourFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Demonstrated ability to utilize/apply the general and specialized principles, practices, techniques and methods of Utilization review/management, discharge planning or case management.
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Maintains effective interaction/communication with members of the medical staff, nursing staff, complex case managers, the SNF rounder, home care review team, social workers, inpatient care coordinators, referral coordinators, Member Services, Claims, Contracts and Benefits-Appeals, Risk Management and Kaiser Permanente medical offices to facilitate the precertification and referral process.
$37.15 - $41.36 an hourFull-timeExpandApply NowActive JobUpdated 2 days ago - UpvoteDownvoteShare Job
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Coordinates an interdisciplinary approach to providing continuity of care for transplant candidates and posttransplant patients, including utilization management, facilitation of discharge planning and clinical management of transplant related follow up care.
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Preferred Qualifications:Recent acute care, case management, or home health experience preferred. Description: Job Summary:The Patient Care Coordinator is responsible for overseeing the management and coordination of care for the acute inpatient population.
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Demonstrated ability to utilize/apply the general and specialized principles, practices, techniques and methods of utilization review/management, care coordination, transfer coordination, discharge planning or case management.
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Basic Qualifications: Experience - Three (3) to five (5) years of clinical experience in healthcare setting, experience in utilization review, case management, discharge planning, and managed care.
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Minimum two (2) years of RN experience in utilization review, ambulatory case management, care coordination or disease management. The Care Manager will work in 2 settings on a periodic rotating schedule, planning the discharges and follow up care for Kaiser Foundation Health Plan of Washington patients hospitalized at a nearby network facility and carrying a case load of patients in one of the Kaiser Foundation Health Plan of Washington medical centers.
$44.06 - $74.29 an hourPart-timeExpandApply NowActive JobUpdated 13 days ago - UpvoteDownvoteShare Job
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The PCC collaborates with rounding MAPMG Hospital Based Service Physicians, patient/family, nursing, utilization review and other members of the healthcare team to assure continuum of patient care progression for clinical and cost-effective outcomes.
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Three (3) to five (5) years of clinical experience in healthcare setting, experience in utilization review, case management, discharge planning, and managed care. Synthesizes and analyzes a large volume of data related to the member, benefits, eligibility, facilities, contracts, and clinical status to identify issues and facilitate problem solving that results in continuity of care, quality of care and optimal resource management for the patient.
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Maintain KOJUR database of contracted providers and CHP providers for MCO Provider List. Perform administrative case management support to the nurse case managers. Ensures compliance with Division 15 rules by identifying second surgical opinion cases, facilitates/coordinates with MCO Medical Director and provides review support on a case by case basis.
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