Complex Care Manager - Memorial Health (Tustin, CA)

Experience: Required: Minimum 3-5 years of complex care management experience. 2 years work experience in Microsoft Word, Microsoft Excel and Microsoft Outlook. Preferred: Navigation of Share Point or equivalent experience navigating internal company intranet preferred. Experience documenting in an electronic medical record or electronic health record preferred. Experience performing medical management (UM / CM) in electronic referral / case management application preferred. 1 year applying NCQA (National Committee for Quality Assurance) SNP (Special Needs Plans); DMHC (Department of Managed Health Care). Experience with ICE (Industry Collaborative Effort) denial language. Education: Minimum of an Associate’s degree (AA) or equivalent from a two-year college or technical school. Prefer a Bachelor of Science Nursing. Must have a Current California Registered Nurse (RN). Req Number:314489 Source:

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