Care Manager II (RN)

Los Angeles, CA 91367

Posted: 01/04/2021 Category: Nursing Job Number: 53602

Job Description

Full time RN Case Manager openings in the Los Angeles, CA 91367 area with a major healthcare company! Starting ASAP! Apply now with Luke H. at A-Line!


Position Purpose: Perform care management duties to assess, plan and coordinate all aspects of medical and supporting services across the continuum of care for select members to promote quality, cost effective care.


Job Summary:
  • Training is TBD due to COVID.
  • Responsible to carry a full case load; Receiving 2-3 cases/day from providers and members.
  • Worker needs to be close to Woodland Hills area - they need to be able to drive to Woodland Hills when they return to office


Shift Times: Mon-Fri 8am-5pm; Once comfortable, hours can flex (8am-10am for start time, and stay until 5pm-7pm)

Pay Rate: $35 - $42 hourly (determined on experience)


Required Skills:
  • Graduate from an Accredited School of Nursing. Bachelor’ s degree in Nursing (BSN) preferred.
  • Licenses/Certifications: Current CA RN license.
  • 1+ years of case management experience in a managed care setting.
  • Knowledge of utilization management principles and healthcare managed care.
  • Experience with medical decision support tools (i.e. InterQual, NCCN) and government sponsored managed care programs.
  • Certified as a Case Manager (CCM) preferred.


Why Apply:
  • Full benefits available after 90 days: Medical, Dental, Vision, Life, Short-term Disability
  • 401k after 1 year of employment: With employer match and profit sharing
  • GREAT Hours! Monday through Friday, 40 hours per week
  • Competitive Pay Rate


Keywords: Utilization Review, Utilization Management, Registered Nurse, MCO, RN, Nurse, Managed Care, Medical Claims, Appeals, Mail Order Medications, Insurance Verification, Pharmacy, Prior Authorization, Patient Counselor, Healthcare, Inbound Calls, Outbound Calls.

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