Medicare Nurse Case Manager Salary in Laguna Hills, California

To get your salary data, use the search bar below or browse by job, city, or state.
loading...

Job title is required

loading...

Job location is required.

Average Salary for Medicare Nurse Case Manager in Laguna Hills, California

The average salary of a(n) Medicare Nurse Case Manager in Laguna Hills, California is $77,587.

The average hourly rate of a(n) Medicare Nurse Case Manager in Laguna Hills, California is $37.30.

The average bonus of a(n) Medicare Nurse Case Manager in Laguna Hills, California is $1,179.00.

Job Description:

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. Less

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

How helpful is this page?

Are you a(n) Medicare Nurse Case Manager?

Get a more personalized salary report now. Get Report

Average Salaries for Similar Jobs in Laguna Hills, California

Job Openings by Indeed job search

Results for Medicare Nurse Case Manager in Laguna Hills, California

Inpatient RN or LVN Case Manager - Orange, CA

CareNational

The Nurse Case Manager will serve the daily case management needs of members. The Case Manager will participate in the development of appropriate QI processes,...

View job on Indeed.com

Senior Specialist - Workers Compensation Claims - Orange, CA

Crum & Forster Insurance Co

Makes assignments to nurse case management when indicated, monitoring their billing and performance. Secures Medicare set-asides and uses structured settlements...

View job on Indeed.com

Complex Care Manager - Fountain Valley, CA

MemorialCare Foundation

Current California Registered Nurse license (RN), Licensed Vocational Nurse (LVN) or MSW/LCSW. Previous Case Management experience....

View job on Indeed.com

Director of Outpatient Services - Orange, CA

Prospect Medical Systems

Extensive knowledge of Medicare. Daily oversight of Case Management, High Intensity Rounds, Home visits, Nurse Practitioner Program, Social Workers, Palliative,...

View job on Indeed.com

Utilization Management Registered Nurse (RN) Coordinator - Anaheim, CA

MISSION INTERNAL MEDICAL GROUP, INC.

Coordinates care for members following an established care plan by the complex care managers or hospital case managers....

View job on Indeed.com

Discover How Much You
Should Be Paid

Work in Compensation or HR?    x