Registered Nurse (RN) - Case Manager, Clinical Support Specialist
Job Description
Tenet Desert is seeking a Registered Nurse (RN) Case Manager, Clinical Support Specialist for a nursing job in La Quinta, California.
Job Description & Requirements
- Specialty: Clinical Support Specialist
- Discipline: RN
- Duration: Ongoing
- 36 hours per week
- Shift: 12 hours
- Employment Type: Staff
Shift: Days
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Job type: Full Time
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Hours: 0800-1630
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The scope of duties encompasses a variety of tasks related to performing the following: integrated concurrent review for utilization; quality and risk; discharge planning; and case referrals for patients. This position works with medical and professional staffs to obtain appropriate clinical documentation for review and to meet inpatient criteria by the Interqual Guidelines. The Case Managers are responsible for the research and appeal UR denials; micro management of patients to ensure appropriate and timely resource utilization; timely and accurate communication to insurance utilization review for certification of admission and continued stay.
1. Current license as a Registered Nurse in California, or related health care professional
2. Three (3) years Case Management/UM experience in an acute care facility
3. CPR
4. Knowledge and experience with Medi-Cal - preferred
5. Good communication skills and ability to work with others
6. Basic computer skills
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Tenet Desert Job ID #2603008918. Posted job title: Registered Nurse Case Manager (RN)