Experience
- Minimum 2 years acute medical Care Manager experience performing Care Coordination/Discharge Planning required
- Previous travel experience required
License & Certification Required
- California state RN license required (pending license accepted, must be licensed upon start date)
Skills Required
- Care coordination
- Discharge planning
- Computerized documentation experience
- Experience with assessing patients
- Knowledge of admission criteria
- Knowledge of CMS: Centers for Medicare and Medicaid Services
- Proficiency in CPT coding and billing
- Understanding of HIPAA guidelines
- Experience with DRG (Diagnosis Related Groups)
- Experience with Disease management
- Plan of Care formulation
- Needs Assessment/Order DME
- Experience with SDU/PCU/IMC/Obs
- Experience with Epic charting system
Desired Skills
- Experience with HMOs and IPAs