Experience
- Minimum 2 years experience as an acute medical Care Manager performing Care Coordination and Discharge Planning required
- Previous travel experience required
License & Certification Required
- CA state nursing license required
- Pending CA state nursing license accepted if licensed upon start date
Skills Required
- Experience with Care Coordination
- Experience with Discharge Planning
- Knowledge of CMS (Centers for Medicare and Medicaid Services) guidelines
- Understanding of HIPAA guidelines (Health Insurance Portability and Accountability Act)
- Experience with computerized documentation
- Experience with Epic charting system
- Ability to assess patients and determine medical necessity per evidence-based guidelines
Desired Skills
- Experience with HMOs and IPAs
- Knowledge of CPT (Current Procedural Terminology) coding and billing
- Understanding of DRG (Diagnosis Related Groups) procedures
- Familiarity with disease management practices
- Experience in managing high patient caseloads
