10bits is a Healthcare and Professional Staffing Company. From nursing staffing, temp to hire, and permanent to healthcare contracts, 10bits provides hospitals and medical facilities with high-quality clinical professionals with the highest standards and compliance to provide the best medical care.
Job Title: Registered Nurse Care manager- Behavioral Health
Job Location: California - Remote
Job Type: Contract - 3 Months
Job Duties:
- Assisting with Backlog-referrals from CA-members sending referrals to case managers
- Will be Assigned 5-10 referrals daily.
- Develop, assess, and adjust, as necessary, the care plan and promote desired outcome
- Assess the member's current health status, resource utilization, past and present treatment plan and services, prognosis, short- and long-term goals, treatment, and provider options
- Coordinate services between Primary Care Physician (PCP), specialists, medical providers, and non-medical staff as necessary to meet the complete medical socio-economic needs of clients
- Monitor referrals made to community-based organizations, medical care, and other services to support the members’ overall care management plan
- Enter and maintain assessments, authorizations, and pertinent clinical information into various medical management systems.
- Monitor referrals made to community-based organizations, medical care and other services to support the members’ overall care management plan.
- Identify related risk management quality concerns and report these scenarios to the appropriate resources.
Job Requirements:
- Graduate from an Accredited School of Nursing. Bachelor’s degree in nursing preferred.
- 2+ years of clinical nursing experience in an clinical, acute care, or community setting.
- Knowledge of healthcare and managed care preferred.
- Case Management experience required.
- CA state RN License needed.
- Spanish
- Behavioral Health
- Experience Working with Medicare/Medicaid.
- Ability to work in Fast paced environment.
- Excel (data entry-basic knowledge).
- At least 4 hours a day is spent on outbound phone calls-reaching out to members.
- Calls are recorded-will have audio audits.
- True Care medical records system.
- Must be able to navigate multiple systems.
Schedule:
- 40 Hours Per Week
- 8 Hours Per Day
- 8:00 AM to 5:00 PM- PST
- 5 Days Per Week
Job Type: Contract
Pay: $38.00 - $42.00 per hour
Schedule:
Work setting:
Experience:
- Behavioral health: 1 year (Required)
- Medicare/Medicaid: 1 year (Required)
Language:
Location:
Work Location: Remote