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Listed below are the top 10 out of 141 listings that are in the same industry and location as the job you were looking for. To see more than 10 listings, click here to search similar jobs in El Dorado Hills, CA


 
 

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Deloitte - Sacramento, CA US

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To view more listings click here to search Management Jobs in El Dorado Hills, CA


For your reference, we have included the original job posting below.




Case Manager


Job Number:42464949
Company Name:Kforce
Job Location:El Dorado Hills, CA US
Job Category:Management & Business


Case Manager

Case Manager Primary Duties:
* Working with complex cases promotes the delivery of quality; cost-effective health care services based on medical necessity and contractual benefits
* Works with other members of HCS team, provider, hospitals, IPA/MGs, members and their families to plan and review medical necessity, intensity of services, level of care, length of stay and general appropriateness of care
* Provides guidance to the provider network
* Performs effective discharge planning and collaborates with member support system and health care professionals involved in the continuum of care
* May provide case management to member segments with chronic or catastrophic illness
* Specific licensing requirements may apply depending upon position i.e. LVN, RN or Clinical Social Worker
* Ability to function as above
* Performs all levels of patient management (except LifeMAP, pre-surgical counseling and disease management) when members are currently under PPSI case management or Case management and/or meet case management triggers
* Assists Consultant CM with precepting and special projects
* Uses concepts and abilities as well as internal policies and procedures to complete assignments and solve a wide range of difficult problems

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