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DATE ADDED: Mon 15/10/2018

Outpatient Case Manager (Registered Nurse)

Rancho Cucamonga, USA


Job Description

We are searching for a Telephonic Case Management Nurse to join our growing team in Rancho Cucamonga, CA. This is a full time, permanent role. The hours are Monday-Friday 8:00AM to 5:00PM. This position offers a competitive salary, matching pension, full benefits, and generous PTO. We will consider RNs with home health, hospice, or managed care / case management experience. This is an office based position, all contact is telephonic with no travel required.

As a Case Management Nurse you will:

  • Effectively manage a caseload of patients within company and regulatory guidelines
  • Collaborate with various staff to coordinate member care
  • Perform review of prior authorization requests for appropriate care and setting
  • Approve services or forward requests to the appropriate Physician with recommendations
  • Complete medical necessity and level of care reviews
  • Educate on utilization and medical management processes

We Offer:

  • Full health, dental, and vision benefits
  • Matching pension retirement plan (unheard of!)
  • Generous Paid Time Off
  • Competitive starting pay
  • State of the art facility and resources
  • Continuing education reimbursement
  • Long-term stability and room for career growth

What We Need From You:

  • Most Important: Passionate about quality patient care
  • Licensed Registered Nurse (RN) in CA
  • Minimum 1 year of nursing experience
  • Acute Care/Hospital, Home Health, or Hospice experience
  • Knowledge of Managed Care environment preferred

If you are interested in learning more please submit your application!

Role: Outpatient Case Manager (Registered Nurse)
Job Type:
Location: Rancho Cucamonga,

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