Facility Based Utilization Management Case Manager RN
Location: Bakersfield California
Description: Kern Family Health Care is presently looking of Facility Based Utilization Management Case Manager RN right now, this career will be placed in California. More complete informations about this career opportunity please read the description below. **SIGN ON BONUS $2,000**
Kern Health Systems is located in Bakersfield, California. We aren’t a big town but ! we do have that small town feel … this provides an awesome atmosphere of comfort in that we don’t have those heavy 5:00pm traffic jams or speed racers. But we are centrally located so that means we are close to Los Vegas, Los Angeles, Morro Bay, Pismo Beach, Yosemite National Park and Santa Barbara….And we are growing! .And we are growing!
Under the direction of the Kern Health Systems (KHS) Medical Director and Director of Health Service the U.M. Case Manager will promote coordination and continuity of care and quality management in both the inpatient and ambulatory care settings by the review of referrals and authorization of payment for specialty care and ancillary services. The review will evaluate the appropriateness of care using established criteria and Plan benefit guidelines. Review will be conducted on a prospective, concurrent, and retrospective basis. The UM Case Manager manages the required caseload on a monthly basis. Additional duties may include di! scharge planning and telephone triage functions.
Incumbent! s in this position are fully competent in all essential areas of expertise, require little training or guidance; are expected to use an advanced level of judgment in the discharge of their duties; and to work independently under general direction. This position involves frequent communication with members, caregivers, medical providers and KHS staff telephonically, electronically and potentially in-person.
**If you want to learn more about this great opportunity please visit our web-site at kernhealthsystems.com
Requirements:
- Minimum of two years (2) full-time experience or its equivalent as a nurse in an acute care hospital, at least one (1) of which was working within a medical/surgical ward or unit.
- Three (3) years of full-time, paid work experience equivalent to that gained as a UM Case Manager with Kern Health Systems.
- Bachelor’s Degree in Nursing, Health Administration or related healthcare field preferred .
- Registered Nurse with an active, current, unrestricted license; California Nurse Practitioner license a plus .
- Valid California Driver License
- Bilingual (English/Spanish) preferred
We have an excellent benefit package which includes free health care, dental, life, 457 and 401a Plan, PTO and EIB, as well as other benefits such as short- and long-term disability insurance and supplemental benefits. We provide training and professional development courses, including various in-house training sessions. We do all this and provide you with an opportunity to grow with an organization which seeks to take pride in providing a service to our community.
NOTE: As a condition to employment, a satisfactory drug test and background check are required.
Other: Possession of valid driver’s license and proof of State required auto liability insurance.
E.O.E
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If you were eligible to this career! , please email us your resume, with salary requirements and a resume to! Kern Family Health Care.
If you interested on this career just click on the Apply button, you will be redirected to the official website
This career starts available on: Sat, 30 Mar 2013 00:05:23 GMT
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