Remote Hospice Telephonic Case Manager

Overview

A Managed Care Organization is seeking experienced Registered Nurses to serve as telephonic case managers for hospice validation, primarily responsible for reviewing hospice-related documentation and coordinating care.

In Short

• Review and validate hospice documentation.
• Contact hospice providers and members to verify and coordinate care.
• Enter pseudo authorizations into the managed care system.
• Report suspected fraud, waste, and abuse as necessary.
• Ensure compliance with all policies and regulatory guidelines.

Requirements

• Active Registered Nurse (RN) license in California.
• Minimum of 3 years of hospice experience.
• Managed care and case management experience preferred.
• Strong understanding of hospice regulations and documentation requirements.
• Excellent telephonic communication skills.
• Ability to work independently in a remote environment.

Benefits

• Temp-to-perm position.
• Flexible remote work schedule.
• Competitive pay rate.