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RN Case Manager

Location: San Rafael, CA
Job # 8539196
Date Posted: 12-06-2016
The RN Case Manager position is to support the physician and interdisciplinary team in the provision of patient care, with the underlying objective of enhancing the quality of clinical outcomes and patient satisfaction while managing the cost of care and providing timely and accurate information to payers. 

Patient accountable for a designated patient caseload and plans effectively in order to meet patient needs, manage the length of stay, and promote efficient utilization of resources.

Specific functions within this role include:
- Facilitation of pre-certification and payer authorization processes;
- Facilitation of the collaborative management of patient care across the continuum, intervening as necessary to remove barriers to timely and efficient care delivery and reimbursement;
- Application of process improvement methodologies in evaluating outcomes of care; support and coaching of clinical     documentation efforts and serving as a clinical resource for coders,
- Ensuring that documentation accurately reflects severity of illness and intensity of service; coordinating communication with physicians.

Required Experience:
Current California RN license. One year recent clinical experience. Current BCLS certification. 

Required Education:
Graduate from an accredited school on nursing. Diploma or official transcripts.
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