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The graph below is a comparison of salary data for 10 jobs in Pleasanton, California, as provided by the free SalaryExpert® Salary Report and Salary Calculator. If you are a professional who requires compensation survey data for your work please consult ERI Economic Research Institute's Salary Assessor.

Medicare Nurse Case Manager:
Plans, directs, implements, and evaluates appropriate healthcare services for Medicare patients in conjunction with Physician's treatment plan to ensure that cost effective, quality care is provided. Typically requires licensure as a Registered Nurse with three years of relevant nursing and... [+] More

Medicare Nurse Case Manager:
Plans, directs, implements, and evaluates appropriate healthcare services for Medicare patients in conjunction with Physician's treatment plan to ensure that cost effective, quality care is provided. Typically requires licensure as a Registered Nurse with three years of relevant nursing and medical case management experience. Certification as a Case Manager or professional certification in a clinical specialty may also be required.

Coordinates cases that normally include prospective and retrospective review and prior authorization, determining the appropriate level of care and utilization of services, concurrent review, retrospective review, developing discharge plans, and ensuring quality cost effectiveness. Develops a plan of care for Medicare patients from admission to discharge. Monitors patient progress toward desired outcomes through assessments and evaluations. Develops and administers education and prevention programs for Medicare patients. Analyzes referred cases for potential case management interventions. Evaluates the effectiveness of alternate care services and ensures that cost effective, quality care is maintained to meet case management objectives. Determines if proposed medical treatment plans meet contract provisions. May arrange referrals, consultations, therapeutic services, and confer with other specialists on course of care and treatment. May negotiate fees with providers of medical care, agencies, and outside vendors to achieve maximum cost effectiveness. (Source: eDOT Job Description) [-] Less

A renter's cost of living for someone making $102,765 in Pleasanton, California is 121.2% of the US National Average. For more information, or to compare cost of living data between two cities, click here.

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Medicare Marketing Director, Medicare Member Services Director, Medicare Marketing Manager, Medicare Member Services Manager, Medicare Claims Supervisor, Medicare Coordinator, Case Manager, Inpatient Nurse Case Manager, Medicare Claims Clerk, Medicare Marketing Representative, Medicare Member Services Representative, Medicare Patient Representative, Case Aide, Ambulatory Nurse Case Manager, Nurse Case Manager (Mentor), Medical Case Manager Nurse, Nurse Case Manager, Case Management Manager, Associate Case Manager, Disease Case Manager, RN Field Case Manager, Manager Case

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