RN Case Manager - Anaheim, United States - KPC GLOBAL MEDICAL CENTERS INC.

Description

The RN Case Manager is responsible for reviewing inpatients for admission criteria and continued stay criteria. Formulates discharge plan, interview patients and family members for discharge needs. Collaborates with physicians, nursing and ancillary staff as well as payers. Enters medical reviews into QRS system. Documents appropriate reviews for all patients, Medi-cal, Medicare, IMS and cash as well as other financial classes.


Requirements:
CA RN license
Case Management experience preferred
Recent acute hospital experience preferred
Knowledge of Interqual Criteria, Medicare, MediCal and Insurance regulations preferred
Good written and verbal communication skills