Current jobs related to Case Manager - Brawley - PIONEERS MEMORIAL HEALTHCARE DISTRICT
-
RN Manager of Case Management
1 week ago
Brawley, California, United States PIONEERS MEMORIAL HEALTHCARE DISTRICT Full timeJob DescriptionAt Pioneers Memorial Healthcare District, we are seeking a highly skilled RN Manager of Case Management to join our team. The successful candidate will be responsible for coordinating the care of patients across the continuum of care, addressing CDI, utilization management, social services, and discharge planning activities to optimize patient...
-
Access Case Manager
3 weeks ago
Brawley, California, United States Pioneers Memorial Healthcare Full timeJob Title: Access Case ManagerJob Summary:The Access Case Manager plays a critical role in ensuring the smooth transition of patients from the acute outpatient care setting to the community setting. This position requires strong analytical and problem-solving skills, as well as excellent communication and interpersonal skills.Key Responsibilities:Evaluate...
-
Access Case Manager
3 weeks ago
Brawley, California, United States Pioneers Rehabilitation and Wellness Center Full timeJob Title: Access Case ManagerThe Access Case Manager plays a critical role in ensuring the smooth transition of patients from the acute care setting to the community setting. This position requires strong analytical and organizational skills, as well as excellent communication and interpersonal skills.Key Responsibilities:Evaluate medical necessity for...
-
Access Case Manager
3 weeks ago
Brawley, California, United States Pioneers Rehabilitation and Wellness Center Full timeJob Title: Access Case ManagerThe Access Case Manager plays a crucial role in ensuring the smooth transition of patients from acute outpatient care settings to community settings, thereby reducing the risk of readmission. This position requires strong analytical and organizational skills, as well as excellent communication and interpersonal skills.Key...
-
Occupational Health Technician
1 week ago
Brawley, California, United States Medcor Full timeWe are seeking a skilled Occupational Health Technician to join our team at Medcor. This is a PRN (as-needed) position that offers the opportunity to work in a dynamic and fast-paced occupational health clinic environment.The ideal candidate will have valid licensure for the position, current CPR/BLS certification, and strong computer and technology skills....
-
Occupational Health Technician
1 week ago
Brawley, California, United States Medcor Full timeMedcor is seeking a skilled Occupational Health Technician to join our team in Brawley, CA. As a Worksite Health Specialist, you will provide exceptional patient care, manage workers' compensation cases, and facilitate Return to Work programs in our employer-based occupational health clinic.Key responsibilities include:Collaborating with medical and...
-
Urology
3 months ago
Brawley, United States Delta Companies Full timeCOMPENSATION AND BENEFITS - Urology (URO) $565,000 Guarantee $60.00/wRVU Production $25,000 Sign-on-Bonus $15,000 Relocation $3,000 CME Annually RESPONSIBILITIES/FACILITY DETAILS - Urology (URO) Only 3 Urologists covering entire area; Tons of work and success Caring, dedicated and supportive administration 9 modern OR suites 25+...
-
Occupational Health Technician
2 weeks ago
Brawley, California, United States Medcor Full timeJob Title: Occupational Health TechnicianMedcor is seeking a highly skilled and compassionate Occupational Health Technician to join our team in Brawley, CA. As a key member of our occupational health clinic, you will play a vital role in providing exceptional patient care and support to our clients and employees.Responsibilities:Collaborate with medical and...
-
EMT, Paramedic, or LPN
3 weeks ago
Brawley, United States Medcor Full timeMedcor is looking to hire an EMT, Paramedic, or LVN on a PRN basis (as-needed) to be a Worksite Health Technician in our employer based, occupational health clinic in Brawley, CA. The clinic operates Monday-Friday 5:30AM-2PM. Are you an EMT or Paramedic looking to use your skills outside EMS? Are you an ER nurse looking to pick up extra shifts in a clinic...
Case Manager
4 months ago
BRIEF SUMMARY: Coordinates, negotiates, procures, seeks prior authorization for services, completes discharge planning assessments, and manages the care of complex patients to facilitate achievement of quality, cost-effective patient outcomes; works collaboratively with the interdisciplinary team, internal and external to the organization; participates in quality improvement and evaluation processes related to the management of patient care, handles appeals and denials.
ESSENTIAL FUNCTIONS:
1. Conducts admission and concurrent utilization review activities according to established criteria and MCG guidelines.
2. Assesses the multidimensional domains of physical functioning, psychological functioning, social supports, and financial resources of the patient.
3. Identify need for case management services at multiple points within the health care continuum.
4. In collaboration of all members of the health care team including the patient and/or decision makers plans for high quality, realistic, and cost-effective/resources driven continuum of care arrangement for identified patients.
5. Makes appropriate referrals using available community/regional resources.
6. Develops a network of the usual services and disciplines required by patients.
7. Maintains a working knowledge and application of the requirements of payers most frequently seen within the population.
8. Complies with all payers’ contracts/programs including denial and appeal procedures.
9. Referrals to the next level of care will include direct communication with the facility representative.
10. Facilitates the transfer of necessary documents/data with the patient to the next level of care.
11. Concurrently analyzes variances from expected outcomes to determine need for action.
12. Collaborates with all members of the health care team to document patient status and variances, working toward achievement of patient goals/optimum quality and cost outcomes.
13. Maintains complete and disciplined documentation of Case Management activities.
14. Provides leadership by enhancing understanding of the integrated Case Management Process with all members of the health care team.
OTHER RESPONSIBILITIES:
1. Engages in emergency, fire, and disaster drills.
2. Demonstrates ability to care for and maintain equipment appropriately.
3. Attends mandatory classes as required
4. Attends required staff meetings.
5. Is punctual and prompt for work: (3 times in 30 days is excessive).
6. The policies and procedures for sick and unscheduled absences are followed.
7. Adheres to PMHD dress and grooming standards policy.
8. Completes in-services and health exams as required by accrediting agency, Department of Public Health and PMHD.
9. Extends courtesy and congeniality.
10. Ensures confidentiality and adheres to the privacy act.
11. Assumes other responsibilities as assigned.
12. Weekend work is assigned on rotating basis.
SUPERVISORY RESPONSIBILITIES: None
EDUCATION, KNOWLEDGE, SKILLS, ABILITIES AND EXPERIENCE:
1. Two or more years of clinical hospital experience (Med Surge, ICU, ED…).
2. Utilization review and of discharge planning experience in acute hospital setting preferred
3. Bilingual English and Spanish preferred
LICENSES AND CERTIFICATIONS:
1. Associate Degree in Nursing REQUIRED, Bachelor’s Degree in Nursing preferred.
2. Certification in Case Management (CCM) or comparable certification preferred.
3. Current AHA Basic Life Support certificate required.
4. Active, current, and unencumbered Registered Nurse (RN) License in State of California REQUIRED.
