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#2299: Case Manager - RN - Registered Nurse (Direct Hire)

Company: PSN, Inc.
Location: Escondido
Posted on: November 10, 2018

Job Description:

We are seeking experienced Registered Nurses (RN) with Case Management (CM) experience in care planning and coordination of services. The CM is skillful in transition of care for health plan members throughout the health delivery system and acts as advocate as well as liaison between providers and members. Strong Case Management background in managed care is essential. This challenging position requires critical thinking skills as well as assessment, coordination, planning and evaluating of multiple clinical environments. This is a full-time position, Monday thru Friday during normal business hours. This position is in the San Diego office, though there is some flexibility for some work from home after training. Job Duties include: Facilitates the clinical progression of care and collaborates with health plan member, family and health plan and community providers. Manages and prioritizes care coordination activities applies knowledge of complex care planning. Utilizes decision-making and critical-thinking skills in the review and determination of coverage for medically necessary health care services Identifies process improvement opportunities. Qualifications: Graduate of an accredited program of nursing. Minimum of four years Case Management or acute care coordination experience. Experience in a Managed Care setting strongly preferred. Strong computer skills; proficient in Windows, Excel and prior use of a laptop. US Citizenship required. Must be able to pass security clearance Licensure Active RN license in the state of California

Keywords: PSN, Inc., San Diego , #2299: Case Manager - RN - Registered Nurse (Direct Hire), Executive , Escondido, California

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