Case Manager, RN or LVN, AppleCare Medical - Buena Park, CA - Full-time / Part-time

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.
 
Primary 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 other related duties as assigned

Required Qualifications:              


Current RN or LVN license in the state of California
2+ 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 Qualifications:

Previous Case Management experience
Managed Care work experience
Certified Case Manager - CCM
Bachelor's Degree in Nursing 
Careers with AppleCare Medical Management. Here's the idea. We built an entire organization around one giant objective; make the health system work better for everyone. So when it comes to how we use the world's large accumulation of health-related information, or guide health and lifestyle choices or manage pharmacy benefits for millions, our first goal is to leap beyond the status quo and uncover new ways to serve. AppleCare Medical Management brings together some of the greatest minds and most advanced ideas on where health care has to go in order to reach its fullest potential. For you, that means working on high performance teams against sophisticated challenges that matter. AppleCare Medical Management, incredible ideas in one incredible company and a singular opportunity to do your life's best work.(sm)
 
 
Diversity creates a healthier atmosphere: All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.
 
AppleCare Medical Management is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.
 
Job Keywords: Case Manager, RN, LVN, Managed Care, health plan, IPA, Certified Case Manager, CCM, Buena Park, CA, California