Registered Nurse (RN) Case Manager - 248710 New
Oxnard, CA
Details
Hiring Company
Medix™
Position Description
Job Description:
- Conduct medical record reviews to assess eligibility, determine medical necessity, and process authorizations or denials for services under the California Children's Services (CCS) program.
- Manage a caseload (ages birth to 21) with complex medical conditions, including cerebral palsy, heart disease, and cancer, completing 10-15 reviews per day.
- Assist families in navigating healthcare services, including scheduling appointments, coordinating surgeries, and facilitating inpatient stays.
- Communicate regularly with healthcare providers and families via phone and multiple software systems to ensure continuity of care and service approvals.
Schedule/Shift:
Monday - Friday 8-5pm Onsite Oxnard, CA 93036
Qualifications:
- RN license
- Case management or Pediatrics experience
Pay: $50-$55hr
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