Case Manager RN

AHMC Healthcare

Riverside, California

JOB DETAILS
LOCATION
Riverside, California
POSTED
22 days ago
Overview:

The Case Manager Registered Nurse is primarily responsible for the preparation, recording and tracking of initial and retrospective payments for hospital services. Answers, directs and records departmental phone calls from a variety of sources (Insurance companies, Skilled Nursing Facilities, Home Health Agencies, Durable Medical Equipment, other health care providers, etc.) understanding priorities for the delivery of quality patient care. Coordinates with Discharge Planners for continuum of patient care, for example, durable medical equipment (DME) and Levels of Care.

Responsibilities:

The Case Manager Registered Nurse is primarily responsible for the preparation, recording and tracking of initial and retrospective payments for hospital services. Answers, directs and records departmental phone calls from a variety of sources (Insurance companies, Skilled Nursing Facilities, Home Health Agencies, Durable Medical Equipment, other health care providers, etc.) understanding priorities for the delivery of quality patient care. Coordinates with Discharge Planners for continuum of patient care, for example, durable medical equipment (DME) and Levels of Care.

Qualifications:

Current CA RN license. Must be able to type a minimum of 45-55 wpm. Fluent in medical terminology. Must have strong communication and written grammatical skills. Current Basic Life Support (Healthcare Provider) certification.

About the Company

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AHMC Healthcare

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Health Source MSO, Inc is an organization that provides management and administrative support. Located in the heart of Alhambra, HSMSO started in 2005 with less than 10 employees. Over the past 11 years, we have prospered and now have grown to over 60 employees. We manage over 250,000 members, 7 hospitals, 18 IPAs, and 9 Health Plans. We strive to be the best and our goal is to pay claims accurately and quickly. 

Challenging but rewarding jobs await you.  We are an equal employment opportunity employer. Join our team today!
COMPANY SIZE
20 to 49 employees
INDUSTRY
Business Services - Other
FOUNDED
2005
WEBSITE
https://www.healthsourcemso.com/