Job Overview:

We are currently seeking a Registered Nurse to serve as a Nurse Case Manager. This is a full-time, benefited direct-hire position.

Job Responsibilities:

- Provide case management services to patients with chronic or complex conditions.
- Coordinate care management activities with the primary care provider, UM staff, hospital discharge planner, social workers, public agencies, and other providers.
- Develop case management plan of care consistent with the sound medical and financial management, including assessment of health needs, individualized care management plans, implementation, monitoring and evaluation of case outcomes.
- Review and update care management plans for continuity of care and facilitate plan modifications including barriers to goals and interventions.

Job Qualifications:

- Two to five (2 to 5) years of clinical experience in an acute care setting.
- Current Washington Registered Nursing (RN) license.
- BSN preferred.
- Certified Case Manager - CCM - preferred.
- Knowledge of Medicare and DSHS regulations and payments.
- Recent Utilization Review experience in a managed care setting is highly preferred.
- Knowledge of InterQual criteria.

Discover all that's possible with Yoh. Apply now.

Yoh is a professional staffing provider with over 70 years of experience in the short- and long-term staffing services industry; visit our website to learn both about our company and about our leading HR Solutions.

Yoh, a Day & Zimmermann company, is an Equal Opportunity Employer, M/F/D/V.

J2W: HC

MONJOB

Ref: 1021252

SFSF: HC

Job Overview:

Our client is currently seeking a Registered Nurse or Licensed Vocational Nurse to work in the capacity of Nurse Case Manager. This is a full-time, temp-hire position.

Job Responsibilities:

- Assess, plan, implement, coordinate, monitor and evaluate care plans.
- Provide oversight for chronic / catastrophically ill patients.
- Process referrals, follow-up and care coordination of patients.
- Assist in the development of patient-focused long- and short-term goals.
- Identify cases for peer reviewers to evaluate the appropriateness and necessity of care and or quality of care concerns.

Job Qualifications:

- California RN or LVN license required.
- Bachelors Degree in Nursing or healthcare-related field is preferred.
- Case Management Certification is preferred.
- Three (3) years of acute care experience.
- Previous experience in case management, concurrent review, prior authorization and discharge planning.
- Working knowledge of Medicare and Medi-Cal guidelines.
- Knowledge of utilization management and case management techniques and protocols, including CA laws and regulations pertaining to medical management.
- Familiarity with HMO, IPA and medical group contracting concepts and principles.
- Excellent computer skills.

Discover all that's possible with Yoh. Apply now.

Yoh is a professional staffing provider with over 70 years of experience in the short- and long-term staffing services industry; visit our website to learn both about our company and about our leading HR Solutions.

Yoh, a Day & Zimmermann company, is an Equal Opportunity Employer, M/F/D/V.

J2W: HC

MONJOB

Ref: 1021178

SFSF: HC

Job Responsibilities:

- Handles onsite inpatient case management in an acute care setting.
- Uses managed care guidelines such as InterQual.
- Performs discharge planning.

Job Qualifications:

- RN License in the State of CA (must be active and in good standing).
- Three to five (3-5) years of recent hospital case management experience in the acute care setting.
- Experience with discharge planning.
- Experience with Mckesson and InterQual guidelines.
- Ability to handle 18-25 case loads.

Discover all that's possible with Yoh. Apply now.

Recruiter: Christine Mosessian

Phone: (818) 587-4463

Yoh is a professional staffing provider with over 70 years of experience in the short- and long-term staffing services industry; visit our website to learn both about our company and about our leading workforce solutions.

Yoh, a Day & Zimmermann company, is an Equal Opportunity Employer, M/F/D/V.

J2W: HC

MONJOB

Ref: 1020310

SFSF: HC

Job Responsibilities:

- Handles onsite inpatient ER case management in an acute care setting.
- Uses managed care guidelines such as InterQual.
- Performs discharge planning.

Job Qualifications:

- RN License in the State of CA (must be active and in good standing).
- Three to five (3-5) years of recent hospital inpatient case management experience in the acute care setting.
- Must have experience in the ER Unit as a case manager.
- Experienced in discharge planning and InterQual guidelines.
- Must be available to work Monday - Friday 11pm - 7am.
- Ability to handle 18-25 case loads.

Discover all that's possible with Yoh. Apply now.

Recruiter: Christine Mosessian

Phone: (818) 587-4463

Yoh is a professional staffing provider with over 70 years of experience in the short- and long-term staffing services industry; visit our website to learn both about our company and about our leading workforce solutions.

Yoh, a Day & Zimmermann company, is an Equal Opportunity Employer, M/F/D/V.

J2W: HC

MONJOB

Ref: 1016892

SFSF: HC

Job Responsibilities:

- Perform daily telephonic review of medical records, concurrent review and discharge planning on inpatients.
- Perform daily inpatient rounds.
- Communicates discharges to IPA.
- Documents Milliman Guidelines on every case within 24 hours.
- Reviews inpatients' cases with UM Manager.
- Analyzes medical cases for appropriateness, plans and coordinates all phases of care.
- Collaborates with physicians, patients, and families to formulate an optimal plan of care.

Job Qualifications (Required):

- Three (3+) years of experience as an on-site concurrent review nurse case manager.
- Two to four (2 to 4) years of clinical nursing experience in acute care.
- Experience with Milliman guidelines.
- Understands Health plan benefits and contractual information.
- Must have knowledge of utilization review and discharge planning.
- Current Registered Nurse / Licensed Vocational Nurse (RN / LVN) licensure in California.
- Computer proficient.

Discover all that's possible with Yoh. Apply now.

Yoh is a professional staffing provider with over 70 years of experience in the short- and long-term staffing services industry; visit our website to learn both about our company and about our leading professional staffing solutions.

Yoh, a Day & Zimmermann company, is an Equal Opportunity Employer, M/F/D/V.

MONJOB

J2W: HC

Ref: 1021605

SFSF: HC

Job Overview:

We are currently seeking a Registered Nurse or Licensed Social Worker to work in the capacity of Director of Case Management. This is a full-time, benefited, direct hire position.

Job Responsibilities:

- Provide oversight of Case Management operations, including supervision of case management staff and developing ongoing quality measurements for case management outcomes.
- Actively involved in department activities, multidisciplinary team activities, and activities to ensure individualized, patient-centered health care.
- Establish and update department policies and procedures in accordance with all accrediting and professional guidelines and requirements.
- Provide guidance in the development of performance standards for employees.
- Plan and develop educational in-services for department.

Job Qualifications:

- Current Nevada RN license OR current Nevada LCSW.
- Bachelor's Degree in Nursing or other healthcare-related field; Masters Degree preferred.
- Certification in Case Management - CCM or ACM - preferred.
- Two (2) years Director or Supervisory / Management experience is required.
- Previous experience in Case Management is required.
- Experience in health care regulatory and accreditation requirements.
- Excellent communication and facilitation skills; ability to work with individuals at all levels of the organization; analytical skills are desired.
- Experience in facilitating or leading project teams, professional boards or committees.

Discover all that's possible with Yoh. Apply now.

Yoh is a professional staffing provider with over 70 years of experience in the short- and long-term staffing services industry; visit our website to learn both about our company and about our leading HR Solutions.

Yoh, a Day & Zimmermann company, is an Equal Opportunity Employer, M/F/D/V.

J2W: HC

MONJOB

Ref: 1020158

SFSF: HC

Job Responsibilities:

- Provides managerial and/or clinical support to patients, staff and leadership.
- Maintains a depth and breadth of clinical competency and/or managed care knowledge.
- Provides and facilitate Case Management.

Job Qualifications:

- RN License in State of AZ (Must be Active and in good standing).
- Bachelors degree in Nursing is Required.
- Three to five (3 - 5) years of Management Level experience is a must.
- Three to seven (3 - 7) years of Case Management experience in an Acute Care and Managed Care Setting.
- Requires extensive knowledge in the areas of Case Management and Utilization Management.
- Must have working knowledge of Hospital operations, Medical / Nursing Staff procedures, hospital and community.

Discover all that's possible with Yoh. Apply now.

Recruiter: Christine Mosessian

Direct Phone: (818) 587-4463

Yoh is a professional staffing provider with over 70 years of experience in the short- and long-term staffing services industry; visit our website to learn both about our company and about our leading workforce solutions.

Yoh, a Day & Zimmermann company, is an Equal Opportunity Employer, M/F/D/V.

J2W: HC

MONJOB

Ref: 1019610

SFSF: HC

Job Responsibilities:

- Handles onsite inpatient case management in an acute care setting.
- Uses manage care guidelines such as InterQual.
- Performs discharge planning.

Job Qualifications:

- RN License in the State of CA (must be active and in good standing).
- Three to five (3-5) years of recent hospital case management experience in an acute care setting.
- Experienced in discharge planning and InterQual guidelines.
- Ability to handle 18 - 25 case loads.
- Must be able to work full time (Monday-Friday 8am-5:00 pm).

Discover all that's possible with Yoh. Apply now.

Recruiter: Christine Mosessian

Phone: (818) 587-4463

Yoh is a professional staffing provider with over 70 years of experience in the short- and long-term staffing services industry; visit our website to learn both about our company and about our leading workforce solutions.

Yoh, a Day & Zimmermann company, is an Equal Opportunity Employer, M/F/D/V.

J2W: HC

MONJOB

Ref: 1020070

SFSF: HC

Job Responsibilities:

- Handles onsite inpatient case management in an acute care setting.
- Uses managed care guidelines such as InterQual.
- Performs discharge planning.

Job Qualifications:

- RN or LVN License in the State of CA (must be active and in good standing).
- Two to five (2-5) years of recent hospital case management experience in an acute care setting.
- Experienced in discharge planning and InterQual guidelines.
- Ability to handle 18-25 case loads.
- Must be able to maintain a flexible schedule.

Discover all that's possible with Yoh. Apply now.

Recruiter: Christine Mosessian

Phone: (818) 587-4463

Yoh is a professional staffing provider with over 70 years of experience in the short- and long-term staffing services industry; visit our website to learn both about our company and about our leading workforce solutions.

Yoh, a Day & Zimmermann company, is an Equal Opportunity Employer, M/F/D/V.

J2W: HC

MONJOB

Ref: 1018872

SFSF: HC

Job Responsibilities:

- Handles onsite inpatient case management in an acute care setting.
- Use managed care guidelines such as InterQual.
- Performs discharge planning.

Job Qualifications:

- RN License in the State of CA (must be active and in good standing).
- Three to five (3-5) years of recent hospital case management experience in the acute care setting.
- Experience in handling discharge planning and InterQual guidelines.
- Ability to handle 18-25 case loads.
- Must be able to work weekends.

Discover all that's possible with Yoh. Apply now.

Recruiter: Christine Mosessian

Phone: (818) 587-4463

Yoh is a professional staffing provider with over 70 years of experience in the short- and long-term staffing services industry; visit our website to learn both about our company and about our leading workforce solutions.

Yoh, a Day & Zimmermann company, is an Equal Opportunity Employer, M/F/D/V.

J2W: HC

MONJOB

Ref: 1020667

SFSF: HC

Job Responsibilities:

- Handles onsite inpatient case management in an acute care setting.
- Uses managed care guidelines such as InterQual.
- Performs discharge planning.

Job Qualifications:

- RN or LVN License in the State of CA (must be active and in good standing).
- Three to five (3-5) years of recent hospital case management experience in the acute care setting.
- Experienced in discharge planning and InterQual guidelines.
- Ability to handle 18-25 case loads.
- Must be able to work Monday - Friday 8am - 5pm.

Discover all that's possible with Yoh. Apply now.

Recruiter: Christine Mosessian

Phone: (818) 587-4463

Yoh is a professional staffing provider with over 70 years of experience in the short- and long-term staffing services industry; visit our website to learn both about our company and about our leading workforce solutions.

Yoh, a Day & Zimmermann company, is an Equal Opportunity Employer, M/F/D/V.

J2W: HC

MONJOB

Ref: 1020078

SFSF: HC

Job Responsibilities:

- Handle onsite inpatient case management in an acute care setting.
- Uses managed care guidelines such as InterQual.
- Performs discharge planning.

Job Qualifications:

- RN License in the State of CA (must be active and in good standing).
- Three to five (3-5) years of recent hospital case management experience in the acute care setting.
- Experienced in discharge planning and InterQual guidelines.
- Ability to handle 18-25 case loads.
- Must be able to work Saturday and Sunday twice a month and per diem on other weekend days.

Discover all that's possible with Yoh. Apply now.

Recruiter: Christine Mosessian

Phone: (818) 587-4463

Yoh is a professional staffing provider with over 70 years of experience in the short- and long-term staffing services industry; visit our website to learn both about our company and about our leading workforce solutions.

Yoh, a Day & Zimmermann company, is an Equal Opportunity Employer, M/F/D/V.

J2W: HC

MONJOB

Ref: 1020666

SFSF: HC

Job Responsibilities:

- Handles the onsite inpatient utilization and case management in an acute care setting.
- Performs chart reviews and TARs.
- Using managed care guidelines such as InterQual.
- Performs discharge planning.

Job Qualifications:

- Registered Nurse License in the State of CA (must be active and in good standing).
- Two to five years (2-5) years of recent hospital case management experience in an acute care setting.
- Three (3) years of utilization management experience in an acute care setting
- Three (3) years of clinical acute care experience.
- Experience in treatment authorization request forms (TARs) and chart reviews are required.
- Bilingual in Spanish is highly desirable.

Discover all that's possible with Yoh. Apply now.

Recruiter: Christine Mosessian

Phone: (818) 587-4463

Yoh is a professional staffing provider with over 70 years of experience in the short- and long-term staffing services industry; visit our website to learn both about our company and about our leading workforce solutions.

Yoh, a Day & Zimmermann company, is an Equal Opportunity Employer, M/F/D/V.

J2W: HC

MONJOB

Ref: 1020093

SFSF: HC

Job Responsibilities:

- Onsite Telephonic Case Management in a Managed Care setting.
- Using Managed Care guidelines such as InterQual and Milliman.
- Chart Review and Patient History Documentation.

Job Qualifications:

- RN License in State of CA (Must be Active and in good standing).
- Two to five (2 - 5) years of recent Telephonic / High Risk Case Management experience in a Managed Care setting.
- Experienced in Chart Review and Documentation.
- Experienced in Elderly Population.
- Must be experienced in utilizing Milliman guidelines.
- Bilingual in Spanish is highly desirable.

Discover all that's possible with Yoh. Apply now.

Recruiter: Christine Mosessian

Direct Phone: (818) 587-4463

Yoh is a professional staffing provider with over 70 years of experience in the short- and long-term staffing services industry; visit our website to learn both about our company and about our leading workforce solutions.

Yoh, a Day & Zimmermann company, is an Equal Opportunity Employer, M/F/D/V.

J2W: HC

MONJOB

Ref: 1019016

SFSF: HC

Job Responsibilities:

- Onsite Inpatient and Telephonic Case Management in an acute care and Managed Care setting.
- Using Managed Care guidelines such as InterQual.
- This position will require traveling to Local Hospital in the Surrounding Area.

Job Qualifications:

- RN or LVN License in State of CA (Must be active and in good standing).
- Three to five (3 - 5) years of recent Inpatient Case Management experience both in a Managed Care and acute care setting.
- Experienced in Discharge Planning and InterQual Guidelines.
- Ability to travel to different sites locally.
- Must have a reliable Transportation.

Discover all that's possible with Yoh. Apply now.

Recruiter: Christine Mosessian

Direct Phone: (818) 587-4463

Yoh is a professional staffing provider with over 70 years of experience in the short- and long-term staffing services industry; visit our website to learn both about our company and about our leading workforce solutions.

Yoh, a Day & Zimmermann company, is an Equal Opportunity Employer, M/F/D/V.

J2W: HC

MONJOB

Ref: 1020343

SFSF: HC

Job Overview:

Our client is currently seeking a Registered Nurse to work in the capacity of Clinical Case Manager. This is a full-time, temp-hire position.

Job Responsibilities:

- Determine medical necessity within required turn-around times and provide review outcomes.
- Review outpatient prior authorization requests and/or retrospective requests through claims review.
- Triage appropriate members for case management service: assessment, planning, implementation, monitoring, and/or measuring outcomes, establish selection criteria, assessment tools and documentation standards.
- Contribute to the development of prior authorization criteria for establishing medical necessity based on nationally published clinical reference and standards of practice.

Job Qualifications:

- California RN license required.
- Bachelors Degree in Nursing or healthcare-related field.
- Three (3) years of acute care experience.
- Previous experience in case management, concurrent review, prior authorization and discharge planning.
- Working knowledge of Medicare and Medi-Cal guidelines.
- Strong working knowledge of Milliman.
- Knowledge of utilization management and case management techniques and protocols, including CA laws and regulations pertaining to medical management.
- Familiarity with HMO, IPA and medical group contracting concepts and principles.
- Excellent computer skills.

Discover all that's possible with Yoh. Apply now.

Yoh is a professional staffing provider with over 70 years of experience in the short- and long-term staffing services industry; visit our website to learn both about our company and about our leading HR Solutions.

Yoh, a Day & Zimmermann company, is an Equal Opportunity Employer, M/F/D/V.

J2W: HC; J2W: CLINICAL

MONJOB

Ref: 1018735

SFSF: HC

Our client is currently seeking a Registered Nurse to work in the capacity of Nurse Case Manager. This is a full-time, temp-hire position.

Job Responsibilities:

- Process referral authorizations, handle the concurrent review process and provide case management for members in hospitals, SNFs and homes
- Collaborate with members and their primary caregivers, physicians and other service providers
- Collaborate closely with Supervisor, Manager, Director and Managed Care Medical Directors to assist with individual cases

Job Qualifications:

- California RN license required
- Bachelor's Degree in Nursing or healthcare-related field preferred
- Experience coordinating care across disciplines and within the community; ability to coordinate community resources
- Experience working with complex chronic medical conditions such as: COPD, CVA, CHF, AIDS, ESRD, transplants, etc., across all age groups including the elderly
- Knowledge of applicable NCQA standards, state and federal regulations
- Knowledge of the health care financial environment and requirements for various payer types, e.g., Commercial, CMS, CCS for HMO and PPO cases
- Excellent communication skills

Preferred Job Skills / Experience / Knowledge:

- Excellent computer skills; EPIC knowledge is highly preferred

Discover all that's possible with Yoh. Apply now.

Yoh is a professional staffing provider with over 70 years of experience in the short- and long-term staffing services industry; visit our website to learn both about our company and about our leading HR Solutions.

Yoh, a Day & Zimmermann company, is an Equal Opportunity Employer, M/F/D/V.

J2W: HC

MONJOB

Ref: 1021440

SFSF: HC

Job Overview:

Our client is currently seeking a qualified candidate to work as a Medical Case Manager in a field-based setting. This is a full-time, permanent, direct hire position.

Job Responsibilities:

- Facilitate recommended treatment plans so that appropriate medical care is provided to injured, ill or disabled employees.
- Assess alternate medical services for appropriateness and cost-effectiveness, based on established medical standards.
- Focus medical plans towards return to work goals in a safe and timely manner.
- Accompany patients to appointments.
- Serve as an intermediary to educate individual on illness or injury and resulting treatment plan.

Job Qualifications:

- Valid CA RN license.
- Minimum of two (2) years experience in Workers Compensation Case Management is required.

Preferred Job Skills / Experience / Knowledge:

- Previous experience in Occupational or Employee Health is preferred.
- CCM or COHN is preferred.

Discover all that's possible with Yoh. Apply now.

Recruiter: Alexis Henderson

Yoh is a professional staffing provider with over 70 years of experience in the short and long-term staffing services industry; visit our website to learn more about our company. If you are seeking workforce solutions in the IT sector, see our comprehensive IT Staffing Resources.

Yoh, a Day & Zimmermann company, is an Equal Opportunity Employer, M/F/D/V.

J2W: HC

MONJOB

Ref: 1017009

SFSF: HC

Job Responsibilities:

- Handles onsite inpatient utilization review case management in an acute care setting.
- Uses managed care guidelines such as InterQual.
- Performs RAC audits and chart reviews.

Job Qualifications:

- LVN License in the State of CA (must be active and in good standing).
- Three to five (3-5) years of recent hospital utilization review and case management experience in the acute care setting.
- Experienced in RAC and TARS audits.
- Experienced in InterQual guidelines.
- Must be able to work during the week.

Discover all that's possible with Yoh. Apply now.

Recruiter: Christine Mosessian

Phone: (818) 587-4463

Yoh is a professional staffing provider with over 70 years of experience in the short- and long-term staffing services industry; visit our website to learn both about our company and about our leading workforce solutions.

Yoh, a Day & Zimmermann company, is an Equal Opportunity Employer, M/F/D/V.

J2W: HC

MONJOB

Ref: 1020664

SFSF: HC

Job Overview:

We are currently seeking a qualified candidate to work as a Workers Compensation RN Case Manager in a field-based setting. This is a full-time, permanent, direct hire position.

Job Responsibilities:

- Facilitate recommended treatment plans so that appropriate medical care is provided to injured, ill or disabled employees.
- Assess alternate medical services for appropriateness and cost-effectiveness, based on established medical standards.
- Focus medical plans towards return to work goals in a safe and timely manner.
- Accompany patients to appointments.
- Serve as an intermediary to educate individual on illness or injury and resulting treatment plan.

Job Qualifications:

- Valid CA RN license.
- Minimum two (2) years of experience in Workers Compensation Case Management required.
- Previous experience in Occupational or Employee Health is preferred.
- CCM or COHN preferred.

Discover all that's possible with Yoh. Apply now.

Recruiter: Alexis Henderson

Yoh is a professional staffing provider with over 70 years of experience in the short- and long-term staffing services industry; visit our website to learn both about our company and about our Recruitment Process Outsourcing services.

Yoh, a Day & Zimmermann company, is an Equal Opportunity Employer, M/F/D/V.

J2W: HC

MONJOB

Ref: 1020309

SFSF: HC