Current jobs related to Inpatient Case Manager - Orange - Prospect Medical Holdings
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Inpatient Case Manager
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Orange, California, United States Regal Medical Group, Inc. Full timeJob SummaryRegal Medical Group, Inc. is seeking a highly skilled Inpatient Case Manager to join our team. As a key member of our healthcare team, the Inpatient Case Manager will be responsible for assessing, planning, implementing, and evaluating patient care plans to ensure the best possible outcomes for our patients.Key ResponsibilitiesAssessment and...
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Inpatient Case Manager
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Orange, California, United States Regal Medical Group Full timeJob SummaryThe Inpatient Case Manager is a critical role within our healthcare team, responsible for ensuring the highest level of care for patients during their hospitalization. This position requires a strong understanding of patient needs, effective communication skills, and the ability to work collaboratively with physicians, nurses, and other healthcare...
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Inpatient Case Manager
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Orange, California, United States Regal Medical Group Full timeJob SummaryThe Inpatient Case Manager is a critical role within our healthcare team, responsible for ensuring the highest level of care for patients during their hospitalization. This position requires a unique blend of clinical expertise, communication skills, and problem-solving abilities.Key ResponsibilitiesAssess patient needs and develop individualized...
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Inpatient Case Manager
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Orange, United States Regal Medical Group Full timeJob DescriptionPosition Summary: The Inpatient Case Manager is responsible for the assessment, treatment planning, intervention, monitoring, evaluation and documentation on identified patients during an acute care episode. Assesses and develops a care plan in collaboration with the admitting, attending and consultant physicians, and other healthcare...
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Traveling Registered Nurse
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Travel Nurse RN Case Manager
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Orange, California, United States TotalMed Case Management Staffing Full timeTotalMed Case Management Staffing is seeking a travel nurse RN Case Manager for a travel nursing job.Job Description and Requirements:Specialty: Case ManagementDiscipline: RNEmployment Type: TravelWe are seeking a Case Manager-Registered Nurse for an assignment.About TotalMed Case Management Staffing:TotalMed Case Management Staffing is a healthcare staffing...
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Travel Nurse RN Case Manager
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Travel Nurse RN Case Manager
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Travel Nurse RN Case Manager
1 week ago
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Travel Nurse RN Case Manager
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Orange, California, United States TotalMed Case Management Staffing Full timeTotalMed Case Management Staffing is seeking a travel nurse RN Case Manager for a travel nursing opportunity in California.Job Description & RequirementsSpecialty: Case ManagementDiscipline: RNEmployment Type: TravelWe are seeking a Case Manager-Registered Nurse for an assignment in California.TotalMed Case Management Staffing is a leading provider of...
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Travel Nurse RN Case Manager
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Inpatient Clinical Programs Supervisor
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Orange, California, United States Alta Hospitals Full timePosition Overview: The Inpatient Clinical Programs Supervisor plays a crucial role in the management and oversight of inpatient Case Management services. This position involves supervising a team of RN/LVN Case Managers and support personnel dedicated to delivering exceptional care to our members in acute care or skilled nursing environments. Key...
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Inpatient Clinical Programs Supervisor
3 weeks ago
Orange, California, United States Prospect Medical Holdings Full timePosition Overview The Inpatient Clinical Programs Supervisor plays a crucial role in supporting the Manager or Director in the strategic planning, organization, and oversight of inpatient Case Management services. Key Responsibilities Supervision: Oversee the RN/LVN Case Managers and support personnel dedicated to delivering exceptional care to our members...
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Supervisor Inpatient Clinical Programs
4 weeks ago
Orange, United States Prospect Medical Holdings Full timeAssists the Manager or director in planning, organizing, and directing of inpatient Case Management services. This position supervises the RN/LVN Case Managers and support staff that are responsible for providing quality care to our members in acute care or skilled nursing facilities. Responsible for the day to day operations, staffing, utilization review,...
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Travel Nurse RN Case Management Opportunity
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Outpatient Case Manager
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Orange, California, United States Regal Medical Group, Inc. Full timeJob DescriptionThe Outpatient Case Manager is a critical role within Regal Medical Group, Inc. responsible for the assessment, treatment planning, intervention, monitoring, evaluation, and documentation of identified High Risk members. This position requires collaboration with the admitting, attending, and consulting physician, the member, and other...
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Director of Case Management
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Case Management Leader
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West Orange, New Jersey, United States Kessler Institute for Rehabilitation - West (West Orange) Full timeJob Summary:Kessler Institute for Rehabilitation - West (West Orange) is seeking a highly skilled Director of Case Management to join their leadership team. The successful candidate will be responsible for overseeing the Case Management department and ensuring the delivery of high-quality patient care.Key Responsibilities:Coordinate healthcare decisions...
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Case Manager
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Orange, United States Illumination Foundation Full timeJob DescriptionJob Description“Every person deserves compassion, dignity, and the safety of a place to call home.”Homelessness is the largest social and public health crisis in California. Illumination Foundation (IF) is a growing non-profit organization dedicated towards disrupting the cycle of homelessness by providing targeted, interdisciplinary...
Inpatient Case Manager
3 months ago
The Inpatient/SNF Case Manager is responsible for coordination of daily Inpatient/SNF services including assessments, treatment planning, monitoring, evaluation, documentation and discharge planning function in accordance with CRC policies, procedure and processes. Interacts with the Medical Directors, facility staff and hospitalists on a daily basis to determine medical necessity of admission, continued stay or any discharge planning needs. On Call rotation for non-business hours, weekends and holidays.
- Level Effectively manages patients either telephonically or onsite during their hospitalization/SNF to ensure the appropriate level of care is provided for the patient’s severity of illness. Utilizes the appropriate tests and diagnostics in the right facilities to facilitate the highest level of care in the most efficient manner. Communicates effectively with the facility staff and hospitalist to gather clinical information through verbal and written communications and provides timely and accurate responses to request information or provide authorization decisions. Updates clinical information in the electronic medical management record system with treatment plan, objectives, results and next steps. Documents all information accurately with approved criteria utilizing the goal length of stay. Initiates and continues direct communication with health care providers involved with the care of the member, including the IPA or Hospitalist Group if applicable, to obtain complete and accurate information. Applies appropriate benefits. Utilizes current approved criteria along with clinical experience to make authorization decisions. Identifies cases not meeting criteria and provides clinical information and rationale to the Medical Director for review and determination. Actively participates in daily rounds with current and accurate clinical information.|- Responsible for timely development of denial letter language and member/provider notification regarding Medical Director’s review determination. Identifies and refers cases appropriately for CCS, High Risk, Hospice/Palliative, SNF, QI and Disease Management, per policy, and documents referral in case files. Refers cases to the Medical Direct as appropriate for denial.|- Anticipates and initiates discharge planning within twenty-four hours (24 hours) of admission, completes post discharge call within 24-48 hours of acute discharge or SNF, to identify barriers and prevent readmission. Identifies post discharge care needs and refer to the appropriate outpatient programs and/or providers. Interacts with hospitalists, facility staff and patients daily to evaluate plan of care including discharge planning to determine that patients are receiving quality care and appropriate discharge disposition. Applies medical knowledge to authorize outpatient services as an alternative to hospitalization when appropriate.|- Identifies and reports under and over utilization of medical services, delays in service by hospital or treatment and quality care issues to the Medical Director, and/or the QI department. Actively participates in internal quality and workflow enhancement projects, and other duties, as assigned. Identifies and reports departmental operational issues and resource needs to the appropriate management personnel.
Three to five (3-5) years experience in a medical group or Health Plan setting with strong clinical skills and critical thinking. A t least 4 year’s of concurrent review experience, preferably in a managed care setting. Experience with Microsoft Office Word (50 WPM).High School diploma or GED. Graduate of accredited nursing program.Associates degreeRN/LPN active unrestricted license.
