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Case Manager- Registered Nurse - RN

Location: Oakland, CA
Job # 9080164
Date Posted: 03-20-2017
Job Summary:
Review records of all observation patients whose stays exceed 24 hours, to ensure the appropriate level of care is being provided. Document information obtained during chart review that is pertinent to the utilization review and payment processes. Complete Treatment authorization requests. Identify actual and potential delays in-service or treatments, refer to the appropriate individual and document for trending purposes

Qualifications:
 Current California Registered Nurse (RN) License
 Current Basic Life Support (BLS) certification for Healthcare Providers from the American Heart Association
 Knowledge of Medicare/Medi-cal regulations
 Knowledge of InterQual criteriaies:
 3 years of clinical nursing experience
 3 years of case management experience in an acute care facility
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