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RN Health Plan Case Manager

Saint Agnes Medical Center
Full-time
On-site
Fresno, California, United States
Join to apply for the RN Health Plan Case Manager role at Saint Agnes Medical Center
The position coordinates care and service for defined patient populations across the acute care continuum for CVHP members, including discharge planning, utilization management, care coordination, and support for resource utilization. The incumbent works collaboratively with an interdisciplinary team to improve patient care through effective utilization of the facilitys resources and makes significant contributions toward achievement of desired clinical, financial, and resource utilization outcomes.
Employment Type
Full time
Shift
Full time
Requirements
High school diploma or equivalent is required. A degree from an accredited baccalaureate nursing program is preferred.
Current licensure as a Registered Nurse in the state of California is required.
Current American Heart Association (AHA) Healthcare Provider CPR card is required.
CCM national certification is preferred.
Experience with two (2) areas of clinical specialty is preferred.
Excellent communication skills, critical thinking, creative problem?solving skills, and competent organizational and planning skills are required.
Ability to be self?directed and tolerate frequent interruptions while managing a demanding workload is required.
Knowledge regarding hospital protocol and procedures, clinical standards and outcomes, funding options, familiarity with community resources and outside professional agencies, familiarity with federal and state regulations governing hospital and home care, as well as understanding of the financial structure of health plan and delivery system is preferred.
Pay Range $50.84 - $73.72
Our Commitment
Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person?centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.
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