Rn Inpatient Case Manager - San Francisco, California
Yoh Health Care (San Francisco, California)

Yoh Health Care has a permanent opening for an RN Inpatient Case Manager in San Francisco, California.

Responsibilities:
• Assess, plan, implement, coordinate, monitor and evaluate the options and services needed to meet the member’s health needs across the care continuum and provide quality cost-effective outcomes.
• Utilize clinical knowledge, assessment, problem solving and decision-making skills to evaluate requests for authorization.
• Regular communication and interface with Physician Advisors and Medical Directors for clinical decisions regarding medical necessity, problem resolutions, and all care/service denials.
• Regular interface with Health Plan representative on reporting clinical review as required by Health plan delegation agreement.
• Work collaboratively with other members of the Case Management, Referral Services, Claims Department, Health Plans and other providers to identify individuals who require case management services.

Requirements:
• Licensed RN, BSN
• Certification in CCM preferred
• Minimum three years of case management preferred
• Minimum 3-5 years working in an acute clinical setting
• Excellent computer skills
• Excellent communication skills

Discover all that’s possible with Yoh Health Care. Apply now.

Yoh is an Equal Opportunity Employer. M/F/H/V.