RN-POPULATION-BASED MEDICAL MANAGEMENT * Job in RANCHO CORDOVA 95670, California US
CLINICAL CAPITATION SPECIALIST * Choose to work and live in Sacramento.
where you can ski in Tahoe one day and go to the coast the next.
Drive to the wine country in the afternoon and dine on the riverfront in the evening.
Sacramento offers some of the finest restaurants, outdoor activities, and cultural and sporting events throughout the year.
All of this is located in one of the most historic places in California.
If you already live in Sacramento, a move to one of our 4 CHW facilities could make your life even better.
We offer some of the best benefits in the industry, along with great career choices, training, and leadership development.
This makes for an atmosphere where our people share their enthusiasm for life, as well as for helping others.
As you balance your work life with your other passions, we¡(R)re there for you every step of the way. The Sacramento-area Catholic Healthcare West administrative offices, located in Rancho Cordova, CA, serve as support for many of the services necessary throughout the Sacramento service area Mercy hospitals, including: Mercy General Hospital, Mercy San Juan Medical Center, Methodist Hospital, Mercy Hospital of Folsom, Woodland Healthcare and Sierra Nevada Memorial.
Departments located within the administrative office include: Corporate Real Estate, Finance, Home Health, Hospice and LifeLine, Human Resources, Legal, Managed Care Contracting, Marketing Communications, Mercy Foundation, Patient Financial Services, Payroll and Risk Management.
We're proud to be a part of the Sacramento-area Mercy hospital team, helping to carry on the healing mission begun by the Sisters of Mercy nearly 150 years ago. If you would like to become a part of this caring team, please take a moment to discover more about what it¡(R)s like to work here.
QUALS: Bachelors degree in nursing, business or equivalent or a combination of knowledge and experience.
Current California Registered Nursing License.
Five years experience in utilization review and discharge planning case management and managed care.
Masters Degree and/or case management certifications preferred.
The successful candidate must have knowledge in: --JCAHO and state and federal regulations --Coding, documentation, DRGs --Case Management of capitated at-risk patients --Theoretical concepts of nursing --Nursing practice standards --CQI methods --Medicare, MediCal and private insurance, Capitation, including physician implication.
SCOPE: The Utilization Management Liaison is responsible for improving care management coordination between Greater Sacramento Service Area hospital staff and affiliated medical groups and IPAs.
Provides clinical oversight of relationships between Mercy and contracted network providers.
keywords: registered nurse, RN, utilization review, utilization management, discharge planning, case management Click here to Apply Online.
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