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LTSS RN Case Manager

HealthCare Support
Orange, CA Full Time
POSTED ON 2/27/2025
AVAILABLE BEFORE 5/15/2025

LTSS RN Case Manager

HealthCare Support is actively seeking a LTSS RN Case Manager to fill an opening with a Managed Care Company in Orange, CA. This role is onsite, you must be able to come to the office M-F 8am-5pm.

Daily Responsibilities for LTSS RN Case Manager :

  • Responsible for case management, care coordination, authorization and utilization management of the assigned population of focus (Community Based Adult Services (CBAS), CalAIM, complex discharge and long term care (LTC) members residing in nursing facilities under custodial care) including members in the OneCare Programs, Medi-Cal only members or members living in the intermediate care facilities under regional center guidelines.
  • The incumbent will perform utilization functions and authorizations, provide coordination of care and ongoing case management services for CalOptima Health members discharging from LTC facilities.

Required Qualifications for LTSS RN Case Manager :

  • Associates Degree in Nursing
  • RN license in CA
  • 3 years of experience working either in a clinical environment or for another Managed Care Organization
  • 1 years of case management
  • Computer Skills - Word, Outlook, Excel, PowerPoint
  • Ability to work in office in Orange, CA any 8 hour shift between 7am-8pm (most likely 8-5)
  • Preferred Qualifications for LTSS RN Case Manager :

  • Bachelors preferred
  • MCO experience
  • Certified Case Manager Certification (CCM)
  • Bilingual
  • Benefits for LTSS RN Case Manager :

  • Immediate enrollment in Health Insurance
  • Dental Insurance
  • Life Insurance
  • Employee Assistance Program (EAP)
  • Access to Investment Accounts
  • Career and educational tools within our Ingenovis ACT (Advocacy) Program
  • Pay Details : $43.66 to $69.86 an hour

    Interested in being considered?

    If you are interested in applying to this position, please click Apply Now for immediate consideration.

    For additional consideration, please email a copy of your resume to dennis.lorence@healthcaresupport.com with your phone number, the position title and location, and our recruiters will reach out.

    Healthcare Support Staffing, LLC. is an equal employment opportunity employer and will consider all qualified applicants without regard to race, color, religion, disability, sex, sexual orientation, gender identity, national origin, protected veteran status, or any other characteristic protected by applicable local, state, or federal law.

    Mng #slv125

    Salary : $44 - $70

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