Job Openings in Sacramento County and Beyond

Nurse Case Manager - Direct Hire

Sacramento, CA | Direct Hire Position

Post Date: 02/26/2018 Job ID: 39170.1 Industry: Healthcare/Medical
We are recruiting for a Nurse Case Manager who will be responsible and accountable for coordination of services forclients referred for complex case management. The Nurse Case Manager follows and manages the course of treatment for patients while coordinating care with physicians, nurses, case managers and other staff from outside and withinthe client to ensure quality care and safe outcomes. This position will also conduct initial and ongoing assessments, incorporate disease management protocols, ensure continuity of care through discharge planning and utilization of resources, and shift cost to appropriate payers.

Responsibilities: Proactively assesses all potential cases and actively manages all high risk, high volume cases. Performs care management for members with complex and chronic care needs by assessing, developing, implementing, coordinating, monitoring, and evaluating care plans. Researches and refers members to sources for alternative funding, community services and other services which may provide support to the patient and family. Identifies cases for possible peer reviewers toevaluate the appropriateness and necessity of care and or quality of care concerns. Assures referrals are complete and enrollment/eligibility benefits verified, prior to authorizing inpatient and outpatient care. May also refer tosocial worker, or other carve out services as needed. Completes appropriate, accurate and timely, documentation into EMR system. Travel is required.

Requirements: 2 years professional nursing experience in an acute care setting preferred or; 2 years' utilization/case management experience in the managed care industry. Medicaid experience a plus. Outstanding communication skills, both oral and written. Excellent active listening andcritical thinking and analytical skills. Demonstrated ability to solve mid-level problems with minimal supervision.Strong multi-tasker who can exercise excellent time management and meet multiple deadlines. Ability to exercise sound discretion and strict maintenance of confidentiality. Self-motivated with strong organizational, multi-tasking, planning, and follow up skills

Not ready to apply?

Send an email reminder to:

Share This Job:

Related Jobs: