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Kelly Services, Inc.

Telephonic Case/Care Management RN

Kelly Services, Inc. - Woodland Hills, CA


Telephonic Case/Care Management Nurse - RN - Woodland Hills, CA or Rancho Cordova, CA Great pay offering long-term contract work with potential for permenant placement after 3-6 monthsThis is NOT REMOTE, must work on-site in either location Job Description/Requirements: Working with complex cases telephonically promotes the delivery of quality; cost-effective health care services based on medical necessity and contractual benefits. Works with other members of team, provider, hospitals, IPA/MGs, members and their families to plan and review medical necessity, intensity of services, level of care, length of stay and general appropriateness of care.
\tProvides guidance to the provider network.
\tPerforms effective discharge planning and collaborates with member support system and health care professionals involved in the continuum of care.
\tMay provide case management to member segments with chronic or catastrophic illness.
\tSpecific licensing requirements - Must be an RN
\tDischarge planning for cases that exceed EOA or dx assigned to RN.
\tFollow-up with LLC coordination such as SNF, HH, HI, Rehab.
\tReferrals to QM, DM, CM and AGD IPA oversight, Continuity of Care, Healthy Families activities, OOA/OON cases, invest/exp, POS
\tOther CM activities as identified Support to senior/lead CMs as needed.
\tAbility encompasses broad knowledge of concepts, practices and procedures required within health care field. Uses concepts and abilities as well as internal policies and procedures to complete assignments and solve problems. 
\t3-5 years case management experience 
\tRequires RN license in CA 

Why Kelly®? With Kelly, you’ll have direct connections to leading healthcare companies—providing you with the chance to positively impact quality and delivery of patient care. In a field where innovation and change happen constantly, our connections and opportunities will help you take your career exactly where you want to. We work with 95 of the Fortune 100™ companies, and more than 1,200 healthcare hiring managers turn to us each year to access the best talent: people like you.

Let us help advance your healthcare career today.

About

Kelly Services®

As a workforce advocate for over 70 years, we are proud to directly employ nearly 500,000 people around the world and have a role in connecting thousands more with work through our global network of talent suppliers and partners. Revenue in 2016 was $5.3 billion. Visit kellyservices.com and connect with us on Facebook, LinkedIn and Twitter.

Kelly Services is an equal opportunity employer including, but not limited to, Minorities, Females, Individuals with Disabilities, Protected Veterans, Sexual Orientation, Gender Identity and is committed to employing a diverse workforce. Equal Employment Opportunity is The Law.

13 days 15 hours ago

Kelly Services, Inc.

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Telephonic Case/Care Management RN Kelly Services, Inc. - Woodland Hills, CA, United States

   

Location: Woodland Hills, CA

Company Profile:
William Russell Kelly founded the company in Detroit on October 7, 1946, operating as the Russell Kelly Office Service. He is widely credited with pioneering the modern temporary help industry. The company was renamed Kelly Girl Service in 1957, and it became Kelly Services® in 1966 to reflect the growing services of the company. Established in the International Marketplace In 1968, Kelly Services opened its first international office in Toronto, Ontario, Canada. The company’s first European office opened in 1972 in Paris, France. Today, we offer a full suite of outsourcing, consulting, and staffing solutions—delivered globally from over a 70-year heritage of dynamic talent innovations. Total Sales Revenue in 2016 was $5.3 billion. Fortune U.S. Rank Kelly Services is currently ranked 490 in the Fortune 500 list of America’s largest companies.