RN Case Manager

Bright Vision Technologies has an immediate opportunity for RN Case Manager at Los Angeles, CA, US.

Candidate must have permanent work authorization and work for any employer without sponsorship now or in the future. Third party candidates are not eligible for this role.

Job Title: RN Case Manager
Job Location: Los Angeles, CA, US
Job Type: Onsite

Required Skills:

• Assists in developing and maintaining policies and procedures for the Service Area or Medical Center related to Utilization Management.
• Collaborates with the multi-disciplinary teams to plan and coordinate care across the continuum.
• Coordinates and manages members care with non-KFH hospital facilities and providers. Identifies risk management and quality of care issues across the continuum.
• Surfaces issues and any suggestions to the appropriate multi-disciplinary team members.
• Manages transportation program to ensure appropriate utilization of resources which meet Health Plan guidelines and patient needs.
• Assures compliance with Federal, State, TJC, NCQA, other regulatory agencies and internal standards and  requirements.
• Provides direction to staff regarding utilization review, care coordination, discharge planning, and other services across the continuum of care.
• Assists in conducting statistical studies in utilization trends, patterns, and outcomes.
• Hires, trains coaches, disciplines professional and clerical support staff.

Experience:
Minimum three (3) years of experience in utilization management and discharge planning in an acute care setting to also include supervisory or management experience.

Education:
BSN or bachelors degree in healthcare related field such as management, health services administration.

License, Certification, Registration:
Registered Nurse License (California)

Would you like to know more about this opportunity? For immediate consideration, please send your resume directly to Venkat at Venkat.r@bvteck.com or Phone +1 (732) 2987641

At BVTeck, we are committed to providing equal employment opportunities and fostering an inclusive work environment. We encourage applications from all qualified individuals regardless of race, ethnicity, religion, gender identity, sexual orientation, age, disability, or any other protected status. If you require accommodations during the recruitment process, please let us know.