RN Case Manager, Outpatient
4 weeks ago
Medica Talent Group is seeking a remote, full-time, Outpatient Registered Nurse Case Manager to join a prominent managed care organization based in LA County. This is a direct-hire position offering full benefits, opportunities for growth, and a yearly salary increase.
Please note that if selected to move forward with this position, training will be on-site in Montebello, CA for 8 weeks. After that, the remote schedule will commence.
Schedule: Monday - Friday 8am - 5pmPay: $50/hrAs an Outpatient Case Manager, you will be responsible for the following:
- Follows established policies, procedures, workflows and desktop procedure of the department.
- Responsible for managing members through implementation of the CM process.
- Effectively and efficiently manages patients throughout the continuum of care and makes appropriate quality and quantity calls to patients.
- Works collaboratively with Hospitalists, hospital partners, and care teams to provide holistic patient care that is focused on high quality in a cost effective way.
- Develops a working relationship with the hospital case managers, health plan, clinics, hospitalists and other governing entities.
- Identifies and enrolls patients into a case management program providing intensive service.
- Conducts intakes and comprehensive assessments per health plan and department’s policy.
- Identifies needs and develops individualized care service plans on behalf of clients; an active participant in case conferences; attends divisional coordinators meetings and regular staff meetings; re-evaluates patients as needed; monitors the services delivered by team participants.
- Attends Joint Operation Meetings (JOM) meetings and various community meetings as needed.
- Monitor ongoing services and their cost effectiveness; recommending changes to the plan as needed using clinical evidence-based criteria – Milliman, Interqual, CMS, National Recognized American Academy of Specific Specialty.
- Assist in performing and documenting patient outreach telephonic and or face to face to reduce the likelihood of readmissions and responsibilities including but not limited to PCP appointments, ensure DME Home Health is ordered, referring for social barriers for referrals to social workers.
- Perform and document patient telephonic and/or person-to-person risk assessments as needed.
- Able to provide assistance to the Regional LVN Case manager and coordinator assigned to the care coordination team.
- Participates in process improvement workgroups as assigned.
- Performs other related duties as assigned.
Qualifications:
- Graduation from an accredited nursing program.
- Current valid License as a Registered Nurse through the California Board of Registered Nursing; Bachelor’s degree in social work, nursing, or another health or human services field with the appropriate licensure preferred.
- Experience in and willingness to be part of multi-disciplinary team.
- Experience with physically or mentally impaired adults and/or geriatric population.
- Three years RN experience in public health nursing, acute care, case management and/or home health care required; minimum of 2 years of managed care experience in case management with focus in inpatient and/or outpatient ambulatory care preferred.
- Bilingual in English and Spanish preferred.
*** Must be COVID VACCINATED
INDMED
-
Outpatient Case Manager; RN
4 hours ago
Montebello, CA, United States AltaMed Full timeWork Boldly. Live Brilliantly. At AltaMed, we don't just serve our communities, we are part of them. We have raised the expectations of what a community clinic can deliver because we think quality care is for everyone. And, we are determined to provide it no matter the challenges because this is more than a job. It's the calling of our lives and it compels...
-
OUTPATIENT CASE MANAGER; RN
3 weeks ago
Montebello, CA 90640, USA, United States AltaMed Full timeWork Boldly. Live Brilliantly.At AltaMed, we don't just serve our communities, we are part of them. We have raised the expectations of what a community clinic can deliver because we think quality care is for everyone. And, we are determined to provide it no matter the challenges because this is more than a job. It's the calling of our lives and it compels us...
-
RN PACE Nurse
4 weeks ago
Montebello, United States North American Staffing Group Full timeJob DescriptionJob DescriptionMedica Talent Group is excited to share this Direct Hire Placement opportunity with you! Our client, a reputable non-profit healthcare organization is seeking to hire a RN PACE Nurse to join their fast-growing team. If you are passionate about offering the best quality care to your patients and have experience working in the...
-
Case Management Coordinator II
9 hours ago
Montebello, United States AltaMed Health Services Full timeWork Boldly. Live Brilliantly. At AltaMed, we don't just serve our communities, we are part of them. We have raised the expectations of what a community clinic can deliver because we think quality care is for everyone. And, we are determined to provide it no matter the challenges because this is more than a job. It's the calling of our lives and it compels...
-
RN, Wound Care Specialist
4 days ago
Montebello, United States Adventist Health NW Full timeAdventist Health White Memorial is a unique faith-based teaching hospital serving East Los Angeles and the surrounding area. The non-profit, 353-bed hospital is committed to improving the health of the community by providing high quality and comprehensive care with inpatient and outpatient services. White Memorial has served the community for over 100 years,...
-
Utilization Management Coordinator
1 week ago
Montebello, United States North American Staffing Group Full timeJob DescriptionJob DescriptionMedica Talent Group is excited to share this temporary opportunity! We partnered with a prominent healthcare organization based in Montebello, CA to fill a UM Coordinator position. Please consider applying if you come with a minimum of 2 years of Utilization Management and Prior Authorization experience.Job DetailsTitle: UM...
-
Utilization Management Coordinator
2 weeks ago
Montebello, United States North American Staffing Group Full timeJob DescriptionJob DescriptionMedica Talent Group is excited to share this temporary opportunity! We partnered with a prominent healthcare organization based in Montebello, CA to fill a UM Coordinator position. Please consider applying if you come with a minimum of 2 years of Utilization Management and Prior Authorization experience.Job DetailsTitle: UM...
-
Aba Program Manager
4 weeks ago
Montebello, United States Easterseals Southern California Full timeOverview: Under supervision by a Board Certified Behavior Analyst (Assoc. Clinical Supervisor, Clinical Supervisor, or Regional Clinical Director), provides program management and executes changes in program. Provides specialized behavior intervention services and program supervision to individuals with Autism Spectrum Disorder (ASD) and/or other related...
-
Utilization Management Coordinator I
1 week ago
Montebello, United States AltaMed Health Services Full timeUtilization Management Coordinator I page is loaded Utilization Management Coordinator I Apply remote type Hybrid locations Montebello, CA 90640 time type Full time posted on Posted 30+ Days Ago job requisition id JR1637 Work Boldly. Live Brilliantly.At AltaMed, we dont just serve our communities, we are part of them. We have raised the expectations of what...
-
Utilization Management Coordinator II
2 weeks ago
Montebello, United States AltaMed Health Services Full timeWork Boldly. Live Brilliantly. At AltaMed, we don't just serve our communities, we are part of them. We have raised the expectations of what a community clinic can deliver because we think quality care is for everyone. And, we are determined to provide it no matter the challenges because this is more than a job. It's the calling of our lives and it compels...
-
UM Coordinator Temp
4 weeks ago
Montebello, United States North American Staffing Group Full timeJob DescriptionJob DescriptionUM Coordinator Temp Medica Talent Group is seeking a UM Coorinator to join our team in the LA area. We are looking for a professional, self-motivated, caring, dedicated Nurse to join our team.This position has primary responsibility for gathering relevant information for the identified member population during assessment,...
-
RN, Clinical Educator
14 hours ago
Montebello, United States Adventist Health Full timeCentered in the heart of Boyle Heights, Adventist Health White Memorial is one of the area's leading healthcare providers since 1913. We are comprised of a 353-bed hospital, three medical office buildings, residency programs, comprehensive cancer care and a vast scope of services located in the Los Angeles area. In 2019, Adventist Health White Memorial was...
-
Clinical Documentation Integrity Specialist
5 days ago
Montebello, United States Adventist Health Full timeLocated in the metropolitan area of Sacramento, the Adventist Health corporate headquarters have been based in Roseville, California, for more than 40 years. In 2019, we unveiled our WELL-certified campus - a rejuvenating place for associates systemwide to collaborate, innovate and connect. Whether virtual or on campus, Adventist Health Roseville and shared...
-
RN, Wound Care Specialist
1 week ago
Montebello, United States Adventist Health Full timeJob Summary: Provides care to medically complex patients in collaboration with the physician in a specialized acute care setting. Works autonomously and has authority, responsibility, and accountability for assessment, planning, implementation and evaluation of wound, ostomy, and continence care program throughout the inpatient care areas. Serves as...
-
Montebello, United States Adventist Health Full timeAdventist Health is seeking a Registered Nurse (RN) Med Surg Lead for a nursing job in Montebello, California.Job Description & RequirementsSpecialty: Med SurgDiscipline: RNDuration: OngoingEmployment Type: Staff Centered in the heart of Montebello, Adventist Health White Memorial Montebello has a 70-year history of providing quality healthcare to the...
-
Montebello, United States Adventist Health Full timeAdventist Health is seeking a Registered Nurse (RN) Med Surg Lead for a nursing job in Montebello, California.Job Description & RequirementsSpecialty: Med SurgDiscipline: RNDuration: OngoingEmployment Type: Staff Centered in the heart of Montebello, Adventist Health White Memorial Montebello has a 70-year history of providing quality healthcare to the...
-
Montebello, United States Adventist Health Full timeJob DescriptionAdventist Health is seeking a Registered Nurse (RN) Med Surg Lead for a nursing job in Montebello, California.Job Description & RequirementsSpecialty: Med SurgDiscipline: RNDuration: OngoingEmployment Type: StaffCentered in the heart of Montebello, Adventist Health White Memorial Montebello has a 70-year history of providing quality healthcare...
-
Montebello, United States Adventist Health Full time*$25k hiring incentive available!*Centered in the heart of Montebello, Adventist Health White Memorial Montebello has a 70-year history of providing quality healthcare to the community. We are comprised of a 192-bed hospital, wound care medical office and surgical and laboratory services. The greater Los Angeles area is known for its art, rich culture,...
-
Clinical Research Associate I
3 weeks ago
Montebello, United States CEDARS-SINAI Full timeJob Description When the work you do every single day has a crucial impact on the lives of others, every effort, every detail, and every second matters. This shared culture of happiness, passion, and dedication pulses through Cedars-Sinai. With a team focused on effective pain management and quick recovery, Cedars-Sinai has been ranked as the No. 1 hospital...
-
Clinical Research Specialist I, CCTO
4 days ago
Montebello, United States CEDARS-SINAI Full timeJob Description The Clinical Research Specialist I provides clinical research expertise by participating in the design and implementation of research projects as needed. Responsible for specific and assigned aspects of research infrastructure development, coordinates projects, and communicates status and improvement areas to leadership. May implement and...
