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Case Manager RN - AppleCare Medical - Buena Park, CA - Full-time / Part-time
•30 days ago
| Hours | Full-time, Part-time |
|---|---|
| Location | Buena Park, CA Buena Park, California |
About this job
AppleCare Medical was formed in 1996. Over the last 17 years, the multispecialty medical group of independent practices has expanded into new communities, contracted with more hospitals and health plans, and added over 50 new doctors—but the mission has remained the same. Today, AppleCare Medical is comprised of hundreds of board-certified private-practice, independent physicians. Collectively, our physicians have been serving the Southeast area of Los Angeles and Northern Orange County for decades, providing their medical expertise and passion to improving the health of our communities.
As a part of our continued growth, we are searching for a new Case Manager to join our team...
The Case Manager is responsible for managing acute and skilled inpatient and outpatient populations of patients with complex and serious problems requiring special healthcare needs. These include elderly patients, high-risk OB, transplants, complex HIV/AIDS patients, pediatrics, and chronic conditions such as CHF, COPD, diabetes and cardiac disease. Individual services are coordinated for patients whose needs include ongoing medical care, home health & hospice care, rehabilitation services and preventive care services.
KEY RESPONSIBILITIES:
- Manages a case load of complex patients.
- Oversees the population management cases that are managed by the case management assistant.
- Works collaboratively with the patient, physician, family members and providers of healthcare to implement plans of care to meet the individual needs
- Works collaboratively with discharge planners at the affiliated hospitals and case management staff at the contracted health plan offices
- Identifies acceptable care options to the patient and family, utilizing the Case Management Society of America (CMSA) standards.
- Coordinates resources to reduce fragmentation of services and facilitate the achievement of realistic treatment goals.
- Provides patients with education and training regarding specific health care needs
- Creates individualized treatment plans
- Performs all other related duties as assigned
Requirements
JOB REQUIREMENTS:
- Current RN license in the state of California
- 2 or more years of Clinical Nursing experience: inpatient, outpatient, SNF, LTAC
- Excellent written and verbal communication skills
- Computer proficiency in MS Office: Outlook, Word, Excel, PowerPoint
PREFERRED EXPERIENCE:
- Previous Case Management experience
- Managed Care work experience
- Certified Case Manager – CCM
- Bachelor's Degree in Nursing
Diversity creates a healthier atmosphere: All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, protected veteran status, or disability status.
AppleCare Medical is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. In addition, employees in certain positions are subject to random drug testing
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