About US:
Tryfacta is a leading, nationally renowned Workforce Management Solution provider for private &public sector firms across the US. We specialize in Healthcare, IT, Business Support, and Professional & Craft/Light Industrial ecosystems.
Founded in March 1996, we have a presence in all 50 States. Tryfacta has Ranked number 1 as one of the fastest-growing companies by Inc. Magazine (Inc. 5000)!
Tryfacta is certified by the Joint Commission for Healthcare Staffing Services & has numerous ISO Certifications that capture our commitment to continuous improvement.
Job Summary:
Tryfacta is seeking a RN Case Manager - Remote for our client in Torrance, CA 90503 This is a temporary contract assignment. If you meet the qualifications listed below and are interested, please Apply Now!
Responsibilities for this position.
Job Position: RN Case Manager - Remote
Specialty: Utilization Review
Facility: Providence SoCal Shared Services Case Management
Location: Torrance, CA 90503
Duration: 8 weeks contract with all possible extension
Shift: Day 5x8-Hour (08:00 - 16:30)
Guarantee Hours: 40
Pay rate: $50.00 - $53.00/hr.
Requirements:
Special Procedures/Unit Details:
this dept is 100% remote, with a variety of service lines and levels of care (inpatient, Extended Hospital Outpatient and OBS).
3-year acute medical Care Manager/UM experience performing utilization review in a hospital setting (not health plan/medical group)
• InterQual required, this is a Hardstop
• Experience with HMOs, IPAs, etc.
• Experience with Medicare regulations, regarding specific UM processes, such as CC44s, ABNs, HINNs, MCSNs, etc.
• Proficient with Epic, recent use required within the last 6-12 months
Tryfacta is an Equal Opportunity/Affirmative Action Employer.
All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, protected veteran or disabled status, or genetic information.