RN Case Manager

PROCEL Nurses & Allied
Los Angeles, CA
Sep 29, 2017
Jobs Outside Higher Education
Other Jobs Outside Higher Education
Institution Type
Outside Academe

Job Description

Additional Requirements:
  • Knowledge of the Nurse Practice Act, TJC, DMHC, CMS, NCQA, HIPPA.
  • Demonstrated strong communication and customer service skills, problem-solving, critical thinking, & clinical judgment abilities.
  • Fundamental word processing & computer navigation skills & the ability to interpret & use analytic data in day to day operations.
  • Knowledge of healthcare benefits (Medicare/Medi-Cal, CMS etc.)
  • Knowledge of InterQual/Milliman evidence based guidelines for medical utilization decisions.

Preferred Qualifications:
  • Minimum two (2) years of experience in utilization review, case management, and/or discharge planning preferred.
  • Bachelor's degree in nursing or in health care related field preferred.
  • Certification in case management preferred.

Company Description
PROCEL is an acronym for PROfessional ExCELlence and is dedicated to providing staffing solutions to Health Care Facilities in Western United States. PROCEL's services encompass short term and long term temporary assignments for Nurses, Technicians, Therapists and Managers with permanent placement options. It is our belief that by placing Health Care PROfessionals who exCELin their practice, we are directly contributing to the highest quality of patient care.

Website: www.procelnurses.com

Los Angeles, CA


Thu, 14 Sep 2017 10:46:03 PDT