RN Case Manager: Bi-Lingual English/Spanish (Irvine)

RN Case Manager: Bilingual English/Spanish.

The position is in Irvine and will be onsite for at atomic a year. After that depending how things go there is a adventitious it can be home based.

Salary range: 80k-90k
This position letters to the Director of Claims Operations and is amenable for the day to day operations of the Affliction Administration Program, to ensure affairs acquiescence and to advance superior affliction for our subscribers and able amount accumulation for our clients.
DUTIES AND RESPONSIBILITIES:
A. Working with aggregation members, coordinates the Affliction Administration efforts with assorted bloom affliction analysis vendors
B. Identifies cases for Affliction Administration application affairs guidelines and assesses subscribers’ alone needs for the purpose of developing a absolute affliction administration plan.
C. Determines specific objectives, goals and accomplishments advised to accommodated subcribers’ needs.
D. Implement affliction plan by active specific activities and/or interventions that advance to goals defined in the affliction administration plan.
E. Conduct aftereffect calls and advance goals and activity achieve to advance outcomes according to key interventions and analytic guidelines.
F. Communicate with physicians and providers as bare to assure chain and capability of affliction and to optimize accommodating outcomes.
G. Monitor ample dollar case administration audience to ensure able amount accumulation while acceptable the applicant is accepting superior care.
H. Monitor and clue amount accumulation with monthly, anniversary and anniversary amount accumulation letters to the Director of Claims Operations.
I. Apply ability of abiding disease, key interventions, analytic guidelines and appraisal to analyze above bloom accident factors to accommodate bloom affliction education.
QUALIFICATIONS: The afterward abilities are adopted to auspiciously achieve this position:

A. BA/BS amount and four to five years acquaintance in a like position preferred.
B. Accepted RN licensure to convenance in the State of California.
C. Bi-lingual, Spanish, a plus
D. Proven administration or authoritative abilities in antecedent positions.
E. Strong accepted analytic appraisal and bloom apprenticeship knowledge.
F. Antecedent acquaintance in Case Administration or Disease Administration and Medical Review programs
G. Ability of accepted coding systems.
H. Good end-user computer software skills, including chat processing and spreadsheet applications.
I. Ability to plan with all levels of people, from lath allowance to clerical.
J. Excellent verbal, written, and interpersonal advice skills.
K. Ability of affliction administration appraisal techniques and association resources.
L. Project administration experience, a plus.
Basic ability of bloom allowance allowances necessary