Case Management RN

The CM process requires a focus on critical thinking skills, customer service skills, setting appropriate goals & measuring outcomes to effectively ensure optimal patient outcomes w/consideration to financial & health plan resources. The Input CM utilizes clinical knowledge & competence, positive communication skills, problem solving & conflict resolution techniques, ability to effect change, strong skills in assessment, organization, & time management.

Our Client, a Healthcare company, is looking for a Case Management – RN for their Fairfield, CA location.
 
Responsibilities:

• The Inpatient Case Manager assess, plan, implement, monitor & evaluate options & services to affect an appropriate, individualized plan for hospital patient care across the continuum of care.
• The Input CM will follow assigned patients working w/team members & Social Services to prioritize & strategize each day’s activities.
• Using independent judgment & discretion, the patient must be assessed & reassessed as an ongoing process to address the patient’s broad spectrum of needs.
• The Input CM utilizes clinical knowledge & competence, positive communication skills, problem solving & conflict resolution techniques, ability to effect change, strong skills in assessment, organization, & time management.
• The CM process requires a focus on critical thinking skills, customer service skills, setting appropriate goals & measuring outcomes to effectively ensure optimal patient outcomes w/consideration to financial & health plan resources.
• Works under the supervision of the Accounts Payable Supervisor.
• Responsible for preparing and issuing all disbursements with proper authorization in a timely manner.
• Ensures the accuracy of the amounts to be paid and the proper coding.
• Maintains all vendor accounts.
• Reviews, matches, codes and keypunches vendor invoices.
• Researches problems and works with vendors and staff in professional and timely manner.
• Maintains all vendor accounts by reconciling vendor statements on a monthly basis.
• Scans all incoming mail daily.
• Accurately accrues sales tax for out of state vendors.
• Produces weekly check run and associated reports.
• Matches checks to invoices – verifies invoice detail to check detail.
• Also runs month end closing process.
• Assists the Accounts Payable Supervisor and management with other duties as assigned to meet business needs.

 
Requirements:

• Physical Effort:
• The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.
• Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
• Long hours sitting, lifting up to 35 to 40 pounds.
• Requires some walking, stooping, bending, twisting, periods of sitting and standing, and use of computer keyboard throughout the workday.
• Licensure:
• Current California state RN license.
• Certified Case Manager (CCM) or Accredited Case Manager (ACM) preferred. 
• Skills:
• Basic knowledge of personal computer and software for word processing and good keyboard skills required.
• Ability to enter and retrieve data from relevant computer systems required.
• Knowledge of MCG, MIDAS+, Cerner, Medicare rules and regulations and Conditions of Participation.
• Knowledge of Joint Commission, Department of Human Services, Patient Safety, and the Department of Health organizational standards.
• Knowledge of acute care, home care, subacute care, long term care, hospice interventions, rehabilitation options, other community resources and requirements, medical necessity guidelines, quality assurance process and determination of positive outcomes, current standards and trends in health care, best practices, management tools, and familiarity with related resources and literature.

 
Why Should You Apply?

• Health Benefits
• Referral Program
• Excellent growth and advancement opportunities