Icon hamburger
US
What job do you want?
Apply to this job.
Think you're the perfect candidate?
Apply Now
Thumsup

You’re being taken to an external site to apply.

Enter your email below to receive job recommendations for similar positions.
M4468s6fy7k5b81jhb0

Behavioral Health Case Management RN

The Judge Group Rancho Cordova Full-Time
Apply Now
The Judge Group is currently looking for a Behavioral Health Case Management RN in Rancho Cordova, CA!

This job will have the following responsibilities:
  • Determines, develops and implements a plan of care based on accurate and comprehensive assessment of the member’s needs related to behavioral health. 
  • Applies detailed knowledge of FEP PPO and Blue Shield of California’s (BSC) established medical/departmental policies, clinical practice guidelines, community resources, contracting and community care standards to each case. 
  • Works with complex cases, promotes the delivery of quality; cost-effective health care services based on medical necessity and contractual benefits. 
  • Provides guidance to the provider network. 
  • Performs effective discharge planning and collaborates with member support system and health care professionals involved in the continuum of care. 
  • Coordinates Care for Lower Level of Care coordination such as Skilled Nursing Facility, Residential Treatment Center, Home Health, Home Infusion, Rehab 
  • Provides disease management education on core chronic conditions (Diabetes, Heart Failure, COPD, Asthma and Coronary Artery Disease). 
  • Makes referrals to Quality Management, Catastrophic Case Management and Appeals and Grievance Department.

Requirements:
  • Registered Nurse with minimum of 5 years inpatient experience
  • Comprehensive knowledge of case management and discharge planning 
  • Specialty Training in Behavioral Health 
  • Strong Computer skills: PC-based software programs, Word, Excel, Outlook 
  • Strong communication skills
Preferred:
  • Bachelor's of Science in Nursing or Advanced Degree
  • CCMC
  • Behavioral Health Nursing Experience
For QUICKEST response, please send UPDATED resume (including most recent/current position) to Alex at Email blocked - click to apply 
 

Skills required

Licensed Clinical Social Worker (Lcsw)
Behavioral Health
Case Management
Social Work
Utilization Management
Clinical Supervision
Apply to this job.
Think you're the perfect candidate?
Apply Now

Help us improve CareerBuilder by providing feedback about this job: Report this job

Report this Job

Once a job has been reported, we will investigate it further. If you require a response, submit your question or concern to our Trust and Site Security Team

Job ID: 622363

CAREERBUILDER TIP

For your privacy and protection, when applying to a job online, never give your social security number to a prospective employer, provide credit card or bank account information, or perform any sort of monetary transaction. Learn more.

By applying to a job using CareerBuilder you are agreeing to comply with and be subject to the CareerBuilder Terms and Conditions for use of our website. To use our website, you must agree with the Terms and Conditions and both meet and comply with their provisions.

The Judge Group is a privately owned, leading professional services firm with nearly 50 years of experience in providing technology, talent, and learning solutions. Our services are successfully delivered through a network of more than 35 offices in the United States, Canada, and India. The Judge Group serves more than 47 Fortune 100 companies and is responsible for 7,000 professionals on assignment annually across a wide range of industries.

View the full profile