Open Position: RN - Case Management

Estimated Gross Weekly Pay: $2948.20

Opportunity:

RN - Case Manager and Utilization Review

Job Details:

* 5 years of experience required
* Must have acute hospital experience
* Weekend coverage required
* Patient population includes adults and geriatrics
* Epic charting system experience required
* InterQual and Milliman Guidelines documentation required
* SBAR communication required
* BSN required
* California license must be in hand upon submission - no pending licenses accepted
* Required certifications: BLS
* Required skills and experience: Admission Criteria, Care Coordination, Discharge Planning, Concurrent Review, Continued Stay Reviews, Retrospective Review, Medical Necessity, Appeals and Denials, UR Admission Criteria, ICD-10 Coding, CPT Coding and Billing, DRG (Diagnosis Related Groups), CMS: Centers for Medicare and Medicaid Services, HEDIS Measures, HIPAA Guidelines, NCQA, OSHA, The Joint Commission/Core Measure/National Safety Goals, Workers Compensation
* Long Term Acute Care/Rehab/Skilled Nursing experience required
* All overtime must be approved by a Charge RN on a daily basis

Facility:

This is a specialty cancer hospital dedicated to providing comprehensive oncology care to patients. The facility serves adult and geriatric populations and operates with an interdisciplinary care model that emphasizes coordinated case management and utilization review. The organization is committed to delivering high-quality, evidence-based cancer treatment and maintains rigorous standards for clinical documentation and compliance.

Location:

Duarte, CA

Duarte is a welcoming community located in the San Gabriel Valley, just east of Los Angeles, offering easy access to world-class dining, entertainment, and outdoor activities in Southern California's ideal year-round climate. The area provides a unique blend of suburban charm and proximity to major metropolitan attractions, making it an exciting destination for healthcare professionals looking to experience the best of California living.

Equal Employment Opportunity Statement:

Noor Group is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other protected characteristic.

Physicial Requirements:

This position requires the ability to perform the essential functions of the role, which may include standing for extended periods, bending, reaching, and lifting up to 50 pounds on an occasional basis, with or without reasonable accommodation. Physicial demands may vary depending on assignment and client-site requirements.