Top 12 Nurse liaison 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
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Clinical Review Specialist (Bakersfield)
Adventist Health —Bakersfield, CA
- $81,273 - $121,909 a year
- Day shift
- Nursing
- RN License
- Mid-level
Care Manager - CA
Independent Living Systems —Bakersfield, CA
- $26.00 - $43.81 an hour
- Full-time
- Spanish
- CPR Certification
- Nursing
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Supervisor of Clinical - Labor & Delivery - Full Time - Shift
Kern County Hospital Authority —Bakersfield, CA
- $60.68 - $94.54 an hour
- Full-time
- Background check
- Nursing
- RN License
- Health insurance
- Dental insurance
Quick Apply
LVN III - Urology/Bakersfield - Full Time 8 Hour Days (Non-Exempt) (Non-Union)
Keck Medical Center of USC —Bakersfield, CA
- $29.00 - $45.20 an hour
- 8 hour shift
- Microsoft Word
- Background check
- Nursing
Director Nursing Cardiac Services
Bakersfield Memorial Hospital —Bakersfield, CA
- $72.88 - $108.42 an hour
- Full-time
- Acute care
- Nursing
- RN License
- Relocation assistance
- Health insurance

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Clinical Review Specialist (Bakersfield)
Adventist Health —Bakersfield, CA
Registered Nurse (RN) license or equivalent health background: Preferred. Adheres to all confidentiality requirements under state and federal peer review…
$81,273 - $121,909 a year
Authorization Specialist
Atlas Medical Consultants —Bakersfield, CA
High school diploma or equivalent required; medical billing/coding certification a plus. In this critical role, you'll be the driving force behind ensuring…
$18 - $22 an hour
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Infusion Nurse - Outpatient Infusion Suite and Home Infusion
Soleo Health Inc —Dublin, OH
Valid state issued driver’s license with no significant restrictions on that license. Must have a single state RN license for the state of Ohio in goodstanding.
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Virtual Hiring Event: Registered Nurses & Registered Nurse Care Coordinators
Ohio State University Physicians, Inc. —Columbus, OH
Current Ohio Registered Nurse license. Develop, implement, and evaluate individualized plans of care. As a Registered Nurse Care Coordinator, you will play a…
$32.85 - $48.55 an hour
3d

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nurse liaison jobs near bakersfield ca

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

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Refine Your Search

nurse liaison jobs in bakersfield ca

LVN Nurse Case Manager

Clinical Review Specialist (Bakersfield)

Care Manager - CA

Supervisor of Clinical - Labor & Delivery - Full Time - Shift

LVN III - Urology/Bakersfield - Full Time 8 Hour Days (Non-Exempt) (Non-Union)

Director Nursing Cardiac Services

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