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Behavioral Health Case Management RN

The Judge Group Rancho Cordova Full-Time
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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.

  • 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
  • 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
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Job ID: 622363


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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.

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