RN Case Manager

Job Title : RN Case Manager

Location : Santa Rosa, California, 95405

Contract duration : 13 weeks

Shift : 5X8 -hours

Schedule : Days

Key Responsibilities :

• Assess patients for case management needs and eligibility for services.
• Develop, implement, and evaluate individualized treatment and discharge plans.
• Coordinate interdisciplinary team meetings and family meetings to support patient care goals.
• Collaborate with physicians, nurses, social workers, and other care providers.
• Ensure compliance with CMS, NCQA, and The Joint Commission standards.
• Coordinate with insurance providers, HMOs, and IPAs for approvals and authorizations.
• Arrange post-acute services including DME, SNF, home health, and transportation.
• Educate patients and families regarding care plans, resources, and follow-up care.
• Advocate for patient needs while ensuring cost-effective care management.
• Accurately document all assessments, interventions, and outcomes in Epic.
• Monitor patient progress and update plans of care as appropriate.

Requirements :

Interested? Apply now!

About Pride Health :

Pride Health is Pride Global healthcare staffing branch, providing recruitment solutions for healthcare professionals and the industry at large since 2010.

Pride Global offers eligible employee's comprehensive healthcare coverage (medical, dental, and vision plans), supplemental coverage (accident insurance, critical illness insurance, and hospital indemnity), 401(k)-retirement savings, life & disability insurance, an employee assistance program, legal support, auto, home insurance, pet insurance, and employee discounts with preferred vendors.

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