Top 54 Nurse case managers Jobs in Bakersfield, Ca

LVN Nurse Case Manager
Centric Healthcare Services —Bakersfield, CA
- $30 - $35 an hour
- Full-time
- Nursing
- Skilled nursing facility
- LVN
- Health insurance
- Dental insurance
Quick Apply
RN Runner - On Call
VITAS Healthcare —Bakersfield, CA
- Weekends as needed
- Nursing
- RN License
- Inpatient
- Disability insurance
- Health insurance
Quick Apply
Continuing Care RN Coordinator
Dignity Health Management Services —Bakersfield, CA
- $54.76 - $81.45 an hour
- Weekends as needed
- Remote
- Bilingual
- Microsoft Word
- Nursing
- Work from home
2d
Lead Nurse | Intake (Mon-Fri)
Bakersfield Behavioral Healthcare Hospital —Bakersfield, CA
- $91,520 - $127,670 a year
- Full-time
- Acute care
- CPR Certification
- RN License
- Disability insurance
- Health insurance
Quick Apply
Home Care Assessor Needed in Bakersfield, CA
Care Planning Institute, Inc —Bakersfield, CA
- $65 an hour
- Per diem
- Current TB test
- RN License
- Mid-level
- Flexible schedule
Quick Apply
ECM CASE MANAGER
Integrated Practice Management LLC —Bakersfield, CA
- Microsoft Excel
- Urgent Care
- Adults
Quick Apply
Care Manager - CA
Independent Living Systems —Bakersfield, CA
- $26.00 - $43.81 an hour
- Full-time
- Spanish
- CPR Certification
- Nursing
Quick Apply
RN Case Manager
OPTIMAL HEALTH SERVICES INC —Bakersfield, CA
- $48 - $52 an hour
- Full-time
- CPR Certification
- RN License
- BLS Certification
- Travel reimbursement
- Mileage reimbursement
Quick Apply
11d
Lead Care Manager (Case Manager) - Enhanced Care Management
Integrated Practice Management LLC —Bakersfield, CA
- Full-time
- Urgent Care
- HIPAA
- Mid-level
Quick Apply
Utilization Review Nurse - Part Time - Shift
Kern County Hospital Authority —Bakersfield, CA
- $43.51 - $68.56 an hour
- Part-time
- Background check
- RN License
- Mid-level
- Paid holidays
- Health insurance
Quick Apply
LVN Case Manager- Bakersfield 1.1
Universal Healthcare MSO LLC —Bakersfield, CA
- $32.00 - $39.99 an hour
- Monday to Friday
- Current TB test
- LVN
- Adults
- Paid holidays
- Health insurance
Hospice Registered Nurse / RN
Mission Healthcare —Bakersfield, CA
- $50 - $55 an hour
- Full-time
- Hybrid work
- CPR Certification
- Nursing
- RN License
- Mileage reimbursement
- Health savings account
Quick Apply
LVN Case Manager PHM- Bakersfield 1.1
Universal Healthcare MSO LLC —Bakersfield, CA
- $32.00 - $39.99 an hour
- Full-time
- Nursing
- Microsoft Excel
- LVN
- Paid holidays
- Health insurance
RN Case Manager (PHM)- Bakersfield 1.2
Universal Healthcare MSO LLC —Bakersfield, CA
- $46.35 - $57.93 an hour
- Full-time
- Nursing
- Microsoft Excel
- RN License
- Paid holidays
- Health insurance
4d
Case Management Assistant, TCS (PHM)- Bakersfield 1.1
Universal Healthcare MSO LLC —Bakersfield, CA
- $21.31 - $26.63 an hour
- Full-time
- Microsoft Excel
- Mid-level
- 3 years
- Paid holidays
- Health insurance
Transplant Coordinator 1
OneLegacy —Bakersfield, CA
- $84,788.34 - $108,879.23 a year
- 12 hour shift
- Heavy lifting
- Mid-level
- Ability to lift 50 pounds
- Paid jury duty
- Mileage reimbursement
Quick Apply
Case Management Assistant (PHM)- Bakersfield 1.1
Universal Healthcare MSO LLC —Bakersfield, CA
- $19.34 - $24.17 an hour
- Full-time
- Writing skills
- 3 years
- High school diploma or GED
- Paid holidays
- Health insurance
Bilingual Case Management Specialist (Remote Flexible, Spanish Speaking)
Pair Team —Bakersfield, CA
- $22 - $25 an hour
- Email
- Background check
- Spanish
- HIPAA
- Dental insurance
- 401(k)
Quick Apply
Case Management Assistant- TCS ECM- Bakersfield 1.1
Universal Healthcare MSO LLC —Bakersfield, CA
- $21.31 - $26.63 an hour
- Full-time
- Writing skills
- Mid-level
- Office
- Paid holidays
- Health insurance
12d
LVN SNP Case Management
BAKERSFIELD FAMILY MEDICAL GROUP, INC. —Bakersfield, CA
- $30.15 - $35.47 an hour
- Bilingual
- Nursing
- LVN
- Health insurance
Quick Apply
3d

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LVN Nurse Case Manager

Centric Healthcare Services
Bakersfield, CA

Quick Apply

Job Details

Full-time
$30 - $35 an hour

Benefits

Health insurance
Dental insurance
401(k)
Paid time off
Vision insurance
Life insurance

Qualifications

Nursing
RN License
Driver's License
Bachelor's degree
Case management
Nursing

Full Job Description

JOB RESPONSIBILITIES:

Provide on-site (hospital, skilled nursing facility) and/or telephonic inpatient case management and concurrent review for identified hospitalized members.
Monitor medical necessity, appropriateness and efficiency of care using established inpatient guidelines, contacting Supervisor, Physician, Specialist, Hospitalist, and Medical Director as needed.
Coordinating and assisting with discharging patients from hospitals and SNFs.
Coordinating transfer of patient to in network facilities when appropriate.
Participate in discussion of delays / barriers / progression of care at care coordination rounds or in 1:1 meetings with physicians, specialists and/or hospital staff.
Be knowledgeable of patient’s available benefits / coverage / payor information.
Be knowledgeable of community programs and resources available to patients within their benefit plan.
Prioritize daily workload to ensure efficiency in completing daily work (patient discharge needs are met, guidelines are followed with proactive discussion of delays / barriers to efficient care, data entry is completed).
Facilitate communication between patient, family, physician, social services, and vendors to maintain continuity of care and appropriate use of resources.
Serve as a resource to patients, providers, and internal departments. Facilitate and comply with application of benefits processes as needed in close coordination with medical director and care team. Perform utilization management for HealthPartners members admitted to Out of Network Facilities, acute rehabilitation facilities, facilitating the approval/denial of services provided.
Assist in monitoring of annual financial goals for inpatient case management LOS, readmission’s, and denial rates, cost savings, patient/provider satisfaction and achievement of outcomes.
Remain current with knowledge and skills of case management and utilization management practices, application of guidelines, policies and procedures related to case management.
Remain current with knowledge to ensure compliance with government programs such as Medicare / Medicaid requirements and regulations.
Discuss cases not meeting medical criteria and cases with utilization issues with physician, social worker, other care team members and medical director as needed.
Assist in monitoring of annual goals for case management LOS, referrals, readmissions, denial rates, cost savings, patient/provider satisfaction and achievement of outcomes.
Serve as a liaison to other agencies, departments, or community resources as needed to coordinate care in transition planning.
Participate in required educational programs and actively demonstrate self-directed learning and continuing education to enhance professional development in the area of case management.
Participate in staff development activities and staff meetings.
Identify and refer to manager and supervisor all cases involving complex medical issues for review.
Record, monitor and report data such as clinical outcomes achieved, potentially avoidable and medically necessary variances, denials, length of stay, reviews completed and outcomes (savings and referrals), and discharge dispositions on a daily basis.
Work with the attending physician, hospitalists/rounders, specialists, hospital and social work staff to create an actionable plan of care and transition / discharge plan for each patient followed, as needed.
Demonstrate knowledge regarding transition criteria and level of care and use of appropriate community-based resources.
Review and assesses inpatient cases for eligibility, benefits and limits, medical necessity and ongoing appropriate level of care.
Function independently and as part of a team, working effectively with various departments, internal and external staff, facilities, patients, patients’ family, and physicians to facilitate quality and efficient patient care.
Perform other duties as assigned.

REQUIRED QUALIFICATIONS:

· RN/LVN with current unrestricted license in the State of California.

· Two years experience working with a medical group or IPA preferred.

· Completion of case management certificate preferred.

· Valid CA driver's license, current DMV printout and insurance required.

· Must meet hospital credentialing requirements to obtain facility ID.

· Excellent verbal, written and interpersonal skills

Job Type: Full-time

Pay: $30.00 - $35.00 per hour

Benefits:

401(k)
Dental insurance
Health insurance
Life insurance
Paid time off
Vision insurance

Education:

Bachelor's (Preferred)

Experience:

Nursing: 1 year (Preferred)
Case management: 1 year (Preferred)

License/Certification:

RN (Preferred)

Willingness to travel:

25% (Preferred)

Work Location: In person

Quick Apply

Refine Your Search

nurse case managers jobs in bakersfield, ca

LVN Nurse Case Manager

RN Runner - On Call

Continuing Care RN Coordinator

Lead Nurse | Intake (Mon-Fri)

Home Care Assessor Needed in Bakersfield, CA

ECM CASE MANAGER

Care Manager - CA

RN Case Manager

Lead Care Manager (Case Manager) - Enhanced Care Management

Utilization Review Nurse - Part Time - Shift

LVN Case Manager- Bakersfield 1.1

Hospice Registered Nurse / RN

LVN Case Manager PHM- Bakersfield 1.1

RN Case Manager (PHM)- Bakersfield 1.2

Case Management Assistant, TCS (PHM)- Bakersfield 1.1

Transplant Coordinator 1

Case Management Assistant (PHM)- Bakersfield 1.1

Bilingual Case Management Specialist (Remote Flexible, Spanish Speaking)

Case Management Assistant- TCS ECM- Bakersfield 1.1

LVN SNP Case Management

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