Registered Nurse - Case Manager chez ACI Health
ACI Health · Tarzana, États-Unis d'Amérique · Onsite
- Professional
- Bureau à Tarzana
- We are seeking a dedicated and compassionate Registered Nurse Case Manager to join our healthcare team. The ideal candidate will be responsible for coordinating patient care, ensuring that patients receive appropriate services in a timely manner, and advocating for their health needs. This role requires a strong understanding of hospital medicine, patient assessment, and case management to effectively manage acute care situations and support patients through their healthcare journey.
Requirements
- Years of Experience: 2 year(s)
- Required, Epic
Travel Experience Required: Yes
Shift: Day 5x8-Hour (08:00 - 16:30)
- Job Duration: 13 weeks
Job Types: Full-time, Contract
Skills:
Appeals and Denials*
Benefits Eligibility*
Disability case management*
Prior Authorizations*
Utilize Milliman Guidelines*
Appeals and Denials*
CPT (Current Procedural Terminology) coding and billing*
Pre-Cert Review*
Prior Authorization*
Quality Improvement*
Retrospective Review*
Utilize Milliman Guidelines*
Behavioral Health*
ER*
ICU*
MS*
NICU*
Pediatrics*
PICU*
SDU/PCU/IMC/Obs*
Surgical Services*
Womens Services*
CPT (Current Procedural Terminology) coding and billing*
Department of Health*
DRG (Diagnosis Related Groups)*
HEDIS (The Healthcare Effectiveness Data and Information Set) Measures*
HIPAA guidelines (Health Insurance Portability and Accountability Act)*
ICD 10 Coding*
NCQA (National Committee for Quality Assurance)*
OSHA: Occupational Safety and Health Administration*
The Joint Commission/ Core Measure/National Safety Goals*
Worker’s Compensation*
