What are the responsibilities and job description for the CASE MANAGER - TELEPHONIC HOSPICE VALIDATIONS (REMOTE) position at Morgan Stephens?
Job Title : Remote Hospice Telephonic Case Manager (Temp-to-Perm)
Pay Rate : Up to $45 / hr
Schedule : Monday - Friday, 8 : 00 AM - 5 : 00 PM PST
Location : Remote, but candidate must reside in California and hold a valid CA RN license
Job Description :
A Managed Care Organization is seeking experienced Registered Nurses to serve as telephonic case managers for hospice validation. The primary responsibility of this role is to review hospice-related documentation, including but not limited to physician orders, hospice election forms, and certifications. The RN will coordinate care by contacting non-par hospice providers and managed care members and will enter pseudo authorizations into the health plan's system. Additionally, the RN will be responsible for identifying and reporting suspected fraud, waste, and abuse.
Key Responsibilities :
- Review and validate hospice documentation, including physician orders, hospice election forms, and certifications.
- Contact hospice providers and members to verify and coordinate care.
- Enter pseudo authorizations into the managed care system.
- Report suspected fraud, waste, and abuse as necessary.
- Ensure compliance with all policies and regulatory guidelines.
Required Skills & Qualifications :
Preferred Experience :
Salary : $45
