Ambulatory Nurse Case Manager Salary in Pico Rivera, California

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Average Salary for Ambulatory Nurse Case Manager in Pico Rivera, California

The average salary of a(n) Ambulatory Nurse Case Manager in Pico Rivera, California is $82,724.

The average hourly rate of a(n) Ambulatory Nurse Case Manager in Pico Rivera, California is $39.77.

The average bonus of a(n) Ambulatory Nurse Case Manager in Pico Rivera, California is $1,315.00.

Job Description:

Provides intensive, comprehensive case management and enhances efficient utilization of services, working with enrollee's providers and caregivers in a health plan. Identifies chronic or catastrophic cases through the case management process, and implements intensive case management according to program guidelines. Evaluates the medical necessity for elective inpatient hospital admission, and authorizes the admission along with the estimated length of stay. Consults with Inpatient Nurse Case Managers regarding existing case management enrollees as well as potential case management enrollees. Requires RN license. Screens for the medical necessity of outpatient procedures, home medical equipment, medications, and any other service that requires precertification. Retrospectively reviews medical admission of categories of diseases and procedures. Makes recommendations for standards of care as necessary. Identifies quality indicators through the case management process. May direct abnormal lengths of stay to the Medical Director or Associate Medical Director. May perform on-site reviews for back-up to an Inpatient Nurse Case Manager. May require Certified Case Manager (CCM) certification. Less

Provides intensive, comprehensive case management and enhances efficient utilization of services, working with enrollee's providers and caregivers in a health plan. Identifies chronic or catastrophic cases through the case management process, and implements intensive case management according to program guidelines.... More

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