Care Managers perform integrated case management (CM) and disease management (DM) activities demonstrating clinical judgment and independent analysis, collaborating with members and those involved with members care including clinical nurses and treating physicians. Care Managers determine, develop and implement a plan of care based on accurate and comprehensive assessment of the members needs. Care Managers apply detailed knowledge of Blue Shield of California (BSC) established medical/departmental policies, clinical practice guidelines, community resources, contracting and community care standards to each case. Responsibilities:Determines, develops and implements a plan of care based on accurate and comprehensive assessment of the members needs. Applies detailed knowledge of FEP PPO and Blue Shield of Californias (BSC) established medical/departmental policies, clinical practice guidelines, community resources, contracting and community care standards to each case. Works with complex cases, promotes the delivery of quality; cost-effective health care services based on medical necessity and contractual benefits.Provides guidance to the provider network.Performs effective discharge planning and collaborates with member support system and health care professionals involved in the continuum of care.Coordinates Care for Lower Level of Care coordination such as Skilled Nursing Facility, Residential Treatment Center, Home Health, Home Infusion, RehabProvides disease management education on core chronic conditions (Diabetes, Heart Failure, COPD, Asthma and Coronary Artery Disease).Makes referrals to Quality Management, Catastrophic Case Management and Appeals and Grievance Department.Additional Skills:Able to operate PC-based software programs including proficiency in Word and Excel.Strong clinical documentation skills, independent problem identification and resolution skills.Strong supervisory, communication, abstracting skills with strong verbal and written communication skills and negotiation skills. Competent understanding of NCQA and federal regulatory requirements. Knowledge of Coordination of Care, prior authorization, level of care and length of stay criteria sets desirable. Demonstrates professional judgment, and critical thinking, to promote the delivery of quality, cost-effective care. This judgment is based on medical necessity including intensity of service and severity of illness within contracted benefits and appropriate level of care. Solid case preparationDemonstrated leadership, project management and program evaluation skills and ability to interact with all levels including senior management and influence decision-making.<img src="https://www.jobg8.com/Tracking.aspx?77KTEF699W7nE6bGrt%2bvRAs" width="0" height="0" />

**Care Manager**

Care Managers perform integrated case management and disease management activities demonstrating clinical judgment and independent analysis, collaborating with members and those involved with members' care including clinical nurses and treating physicians. Care Managers determine, develop, and implement a plan of care based on accurate and comprehensive assessment of the members' needs. Care Managers apply detailed knowledge of Blue Shield of California (BSC) established medical/departmental policies, clinical practice guidelines, community resources, contracting, and community care standards to each case.

**Job Description**

- Determines, develops, and implements a plan of care based on accurate and comprehensive assessment of the members' needs.
- Applies detailed knowledge of FEP PPO and Blue Shield of California's (BSC) established medical/departmental policies, clinical practice guidelines, community resources, contracting, and community care standards to each case.
- Works with complex cases, promotes the delivery of quality, cost-effective health care services based on medical necessity and contractual benefits.
- Provides guidance to the provider network.
- Performs effective discharge planning and collaborates with member support systems and health care professionals involved in the continuum of care.
- Coordinates care for lower levels of care coordination such as Skilled Nursing Facility, Residential Treatment Center, Home Health, Home Infusion, and Rehab.
- Provides disease management education on core chronic conditions (Diabetes, Heart Failure, COPD, Asthma, and Coronary Artery Disease).
- Makes referrals to Quality Management, Catastrophic Case Management, and Appeals and Grievance Department.

**Requirements**

- Able to operate PC-based software programs including proficiency in Word and Excel.
- Strong clinical documentation skills, independent problem identification and resolution skills.
- Strong supervisory, communication, abstracting skills with strong verbal and written communication skills and negotiation skills.
- Competent understanding of NCQA and federal regulatory requirements.
- Knowledge of Coordination of Care, prior authorization, level of care, and length of stay criteria sets desirable.
- Demonstrates professional judgment and critical thinking to promote the delivery of quality, cost-effective care. This judgment is based on medical necessity including intensity of service and severity of illness within contracted benefits and appropriate level of care.
- Solid case preparation.
- Demonstrated leadership, project management, and program evaluation skills and ability to interact with all levels including senior management and influence decision-making.

CRNA / Case Management / California / Permanent / Behavioral Health RN Case Manager Job

At National Staffing Solutions, we have the privilege and honor of working with dedicated healthcare professionals that make a positive impact in aiding those needing healthcare services across the U.S. every day. It is our passion, drive and integrity that enables us to continue our focus in assisting remarkable healthcare professionals like yourself in solidifying the best career opportunities available to you.We re currently seeking a CRNA to join our amazing team.Details of the CRNA opening:<ul><li>Anticipated start date: ASAP</li><li>Salary Range: $186-$195 hourly</li><li>Anticipated duration of assignment: 12+ months</li><li>Anticipated schedule: 10 or 12 hour shifts, Days </li><li> General Anes, Ortho, GYN, Neuro, ENT, Vascular, OB, High acuity </li><li> Trauma level 1 facility </li></ul>Qualifications for the CRNA:<ul><li>Bachelors of Science degree (BSN); Masters degree in Anesthesia or Nursing</li><li>Certification from the National Board of Nurse Anesthetists (NBCRNA)</li><li>Two or more years of applicable experience</li><li>BLS and ACLS Certification</li></ul>Submit your resume to us today for consideration of the CRNA opening and one of our dedicated recruiters will be in touch within 24 business hours.We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.<img src="https://www.jobg8.com/Tracking.aspx?59dS%2b47%2blS7iGdbjsIDyngg" width="0" height="0" />

**CRNA**

At National Staffing Solutions, we have the privilege and honor of working with dedicated healthcare professionals that make a positive impact in aiding those needing healthcare services across the U.S. every day. 

It is our passion, drive, and integrity that enables us to continue our focus in assisting remarkable healthcare professionals like yourself in solidifying the best career opportunities available to you.

**Job Description**

- Anticipated start date: ASAP
- Salary range: $186-$195 hourly
- Anticipated duration of assignment: 12+ months
- Anticipated schedule: 10 or 12 hour shifts, Days
- General Anesthesia, Ortho, GYN, Neuro, ENT, Vascular, OB, High acuity
- Trauma level 1 facility

**Requirements**

- Bachelor of Science degree (BSN); Master's degree in Anesthesia or Nursing
- Certification from the National Board of Nurse Anesthetists (NBCRNA)
- Two or more years of applicable experience
- BLS and ACLS Certification

We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.

Certified Registered Nurse Anesthetist (CRNA)

LOCUM CRNA Sacramento, CA4x10s Weekdays No Call Central CA ConvenienceThis CRNA opportunity in Sacramento offers consistent hours, flexibility with case assignments, and no call. Enjoy a contract close to wine country, Lake Tahoe, and the Bay Area, with an affordable cost of living for your downtime. Assignment Details: Start Date: ASAP Duration: 3 months with extension potential Schedule: MondayFriday 4x10s preferred Weekend Coverage: 1x/month optional EMR: Epic Case Types: General, Ortho, Neuro/Spine, Healthy Peds (2+); no OB Call: None Compensation: All-inclusive hourly rate: $200$240/hour, depending on contract length and availability Why Sacramento for Locums: Lower housing costs than coastal cities Quick weekend access to San Francisco, Napa, and Lake Tahoe Great for short-term contracts with flexible housing Calm, clean city feel with a fast-growing food scene<img src="https://www.jobg8.com/Tracking.aspx?MvyDb74cf7RzSAI0eyzlHgx" width="0" height="0" />

**Locum CRNA**

This CRNA opportunity in Sacramento offers consistent hours, flexibility with case assignments, and no call. Enjoy a contract close to wine country, Lake Tahoe, and the Bay Area, with an affordable cost of living for your downtime.

**Job Description**

- Start Date: ASAP
- Duration: 3 months with extension potential
- Schedule: Monday-Friday 4x10s preferred
- Weekend Coverage: 1x/month optional
- EMR: Epic
- Case Types: General, Ortho, Neuro/Spine, Healthy Peds (2+); no OB
- Call: None

**Compensation**

- All-inclusive hourly rate: $200-$240/hour, depending on contract length and availability

**Community Overview**

Lower housing costs than coastal cities.

Quick weekend access to San Francisco, Napa, and Lake Tahoe.

Great for short-term contracts with flexible housing.

Calm, clean city feel with a fast-growing food scene.