Medicare Nurse Case Manager Salary in San Francisco, California

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Average Salary for Medicare Nurse Case Manager in San Francisco, California

The average salary of a(n) Medicare Nurse Case Manager in San Francisco, California is $85,575.

The average hourly rate of a(n) Medicare Nurse Case Manager in San Francisco, California is $41.14.

The average bonus of a(n) Medicare Nurse Case Manager in San Francisco, California is $1,301.00.

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

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Results for Medicare Nurse Case Manager in San Francisco, California

Patient Care Coordinator Case Manager, 32/hr Evenings - San Francisco, CA

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Master's degree in case management preferred. Shares accountability with the UM Manager for planning, developing, and managing the department....

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Case Manager RN, Patient Care Coordinator, On-Call - Oakland, CA

Kaiser Permanente

Master's degree in case management preferred. Shares accountability with the UM Manager for planning, developing, and managing the department....

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RN - AIM Home Health Care Coordinator (San Francisco) - San Francisco, CA

Sutter Health

Depending on the branch census, the AIM Nurse may also case manage regular homecare patients. Good understanding of reimbursement patterns for Medicare and...

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RN Case Manager/Clinical Coordinator - Daly City, CA

Harmony Home Health

Receives case referrals. Minimum Qualifications of the Registered Nurse include:. Attends case conference meetings with organization personnel to facilitate...

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RN - Case Manager - PN - Walnut Creek, CA

John Muir Health

RN - Case Manager - PN. The Central Medical Home Case Manager is responsible for thorough assessment of the patients referred for Case Management;...

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