Patient Care Coordinator Case Manager OnCall
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- Minimum four (4) years of experience in hospital patient care delivery, OR completion of Master's degree in case management program in lieu of minimum years of experience.
- Graduate of accredited school of nursing.
- Diploma/Associate Degree Nursing.
- Current California RN licensure required.
- BLS Certification.
- Knowledge of the Nurse Practice Act, TJC, DMHC, CMS, NCQA, HIPPA, ERISA, EMTALA & all other applicable federal/state/local laws & regulations.
- 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 health care benefits associated with various business line (Medicare/KPSA, Commercial/KFH, Medi-Cal, Federal, etc.).
- Must be able to work in a Labor/Management Partnership environment.
- Minimum two (2) years of experience in utilization review, case management, and discharge planning preferred.
- Bachelor's degree in nursing or a health care related field preferred.
- Master's degree in case management preferred.
External hires must pass a background check/drug screen. Qualified applicants with arrest and/or conviction records will be considered for employment in a manner consistent with federal and state laws, as well as applicable local ordinances, including but not limited to the San Francisco and Los Angeles Fair Chance Ordinances.