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in Salinas, CA

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Hours Full-time, Part-time
Location Salinas, CA
Salinas, California

About this job

Care Management Case Manager I needed for a direct hire opportunity with Yoh's client located in Salinas, CA.


Top Skills Should You Possess:



    - Previous case management experience
    - Knowledge of utilization management

What You'll Be Doing:



    - Manage care plans for members referred into the care management program
    - Work with and educate members, providers, external agencies and internal departments on care management program and provide assistance as needed
    - Participate in Quality Improvement studies, to continually evaluate program effectiveness and ability in promoting quality driven, cost effective achievable goals and outcomes

What You Need to Bring to the Table:



    - Current California RN license
    - A minimum of three (3) years of experience in a patient care setting, including at least one (1) year of case management experience, preferably in a managed care environment
    - Knowledge of utilization management principles and activities
    - Knowledge of case management principles and activities
    - Knowledge of Medi-Cal and related policy and Title 22 regulations
    - Knowledge and understanding of concepts pertaining to prepaid health care

Bonus Points! Otherwise Known As Preferred Qualifications:



    - Fluency in Spanish or Hmong is highly preferred

What are you waiting for? Apply Now!


Recruiter: Jennifer Andersen


Yoh makes finding and applying for jobs simple. Partner with Yoh to find the right opportunities across multiple industries in the US and UK. Find out more !


Yoh, a Day & Zimmermann company, is an Equal Opportunity Employer, M/F/D/V. to contact us if you are an individual with a disability and require accommodation in the application process.


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Ref: 1048514

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