Registered Nurse (RN) Case Manager - 248710 in Channel Islands Beach, CA
Job Description
Job Description:
• Conduct medical record reviews to assess eligibility, determine medical necessity, and process authorizations or denials for services under the California Children's Services (CCS) program.
• Manage a caseload (ages birth to 21) with complex medical conditions, including cerebral palsy, heart disease, and cancer, completing 10-15 reviews per day.
• Assist families in navigating healthcare services, including scheduling appointments, coordinating surgeries, and facilitating inpatient stays.
• Communicate regularly with healthcare providers and families via phone and multiple software systems to ensure continuity of care and service approvals.
Schedule/Shift:
Monday - Friday 8-5pm Onsite Oxnard, CA 93036
Qualifications:
• RN license
• Case management or Pediatrics experience
Pay: $50-$55hr
• Conduct medical record reviews to assess eligibility, determine medical necessity, and process authorizations or denials for services under the California Children's Services (CCS) program.
• Manage a caseload (ages birth to 21) with complex medical conditions, including cerebral palsy, heart disease, and cancer, completing 10-15 reviews per day.
• Assist families in navigating healthcare services, including scheduling appointments, coordinating surgeries, and facilitating inpatient stays.
• Communicate regularly with healthcare providers and families via phone and multiple software systems to ensure continuity of care and service approvals.
Schedule/Shift:
Monday - Friday 8-5pm Onsite Oxnard, CA 93036
Qualifications:
• RN license
• Case management or Pediatrics experience
Pay: $50-$55hr
Job Details
Medical Speciality
Pediatrics
Employment Type
Full-time
Required License
RN (Registered Nurse)
Years of Experience
IntermediateSenior
Shifts
Monday to FridayDay shift
Work Setting
ClinicOffice
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About Medix
Medix is a rapidly growing staffing firm specializing in recruitment and staffing services across various industries, including Healthcare, Scientific, and Information Technology. With over 20 years of experience as a trusted healthcare staffing agency, Medix connects highly-qualified professionals with organizations across the U.S. The company is committed to creating opportunities and positively impacting the lives of its talent, clients, and communities.