Address
Form of work
SalaryFull Time - Exempt position
SUMMARY
The Case Manager is responsible for utilization management and case management of patient admissions at MCH by collecting and recording all information and data needed for utilization review as requested and required by third party payers. Monitors and audits medical record charts for presence of documentation to support medical necessity and intensity of services. Collaborates with physicians for case management and conducts daily Medical Surgical Case Management meetings. Has a working knowledge of state and federal regulations.
EDUCATION/EXPERIENCE
Current California Registered Nurse License
Five years nursing experience required
CERTIFICATES, LICENSES, REGISTRATIONS
Current license as a Registered Nurse in the State of California
