Case Manager Continuing Care

2 weeks ago

Bellflower, United States Kaiser Permanente Full time

**Job Summary**:
Coordinates with physicians, staff, and non-Kaiser providers/facilities regarding patient care/population based management for patients in specifically defined geriatric or other specifically defined patient populations (e.g., patients with a specific chronic disease, high risk patients) in order to plan and implement a comprehensive, mutli-disciplinary approach to manage health conditions, utilization of resources and protocols, patient self-care, implementation and evaluation of treatment plan across the care continuum (primary, secondary, tertiary and continued care). In conjunction with physicians, develops treatment plan, monitors care, makes recommendations for alternative levels of care, identifies cost-effective protocols and care paths and develops guidelines for care that may require coordination across systems of multiple providers/services.

**Essential Responsibilities**:

- Plans, develops, assesses and evaluates care provided to members.
- In conjunction with primary care and specialist physicians, evaluates and develops baseline medical and psychosocial evaluations and individualized patient care/treatment plans.
- Recommends alternative levels of care and ensures compliance with federal, state, and local requirements.
- Makes assessments of physiological and or functional status utilizing protocols.
- Initiates appropriate diagnostic testing/screening and interventions.
- Develops individualized patient/family education plan focused on self-management; delivers patient/family education specific to a disease state.
- Implements strategies to target/assess risk factors and achieve and ensure patient follow-up according to clinical and strategic measures/outcomes.
- Produces population based reports on outcomes specific to defined patient populations.
- Participates with healthcare team/providers in actualizing outcomes by planning, evaluating and implementing decisions and strategies to achieve predetermined cost, clinical, quality, utilization and service outcomes.
- Develops and maintains case management policies and procedures.
- Coordinates care/services with utilization and/or quality reviewers and monitors level and quality of care.
- Coordinates the interdisciplinary approach to providing continuity of care, including utilization management, transfer coordination, discharge planning, and obtaining all authorizations/approvals/transfers as needed for outside services for patients/families.
- Consults with internal and external physicians, health care providers, discharge planning and outside agencies regarding continued care/treatment or hospitalization or referral to support services or placement.
- Arranges and monitors follow-up appointments.
- Encourages member to follow prescribed course of care (e.g., drug therapy, physical therapy).
- Makes referrals to appropriate community services and outside providers.
- Identifies and recommends opportunities for cost savings and improving the quality of care across the continuum.
- Develops and collects data; trends utilization of health care resources.
- Interprets regulations, health plan benefits, policies, and procedures for members, physicians, medical office staff, contract providers, and outside agencies.
- Coordinates transmission of clinical and benefit treatment to patients, families and outside agencies.
- Acts as liaison for outside agencies, non-plan facilities, and outside providers.
- Coordinates repatriation of patients and monitors their quality of care.

**Basic Qualifications**:
Experience
- **
Basic Quallifications**:

- N/A.

Education
- Graduate of an academic institution accredited by the Council on Social Work Education and a Masters degree in Social Work.

License, Certification, Registration
- N/A

**Additional Requirements**:

- Demonstrated knowledge of case management, discharge planning, transfer coordination; TJC and other federal/state/local regulations.
- Must be able to work in a Labor/Management Partnership environment.
- Bilingual (English/Spanish) Level II required.

**Preferred Qualifications**:

- Minimum two (2) years of case management experience with the population to be case managed preferred.
- Current and valid LCSW highly preferred.

**Notes**:

- M 8 hours, Tu 8 hours, Th - 6 hours, Friday 6 hours,
- Must successfully pass or have passed the bilingual test (within the last 12 months), or be active in the QBS program.

PrimaryLocation : California,Bellflower,Bellflower Medical Offices

HoursPerWeek : 28

Shift : Day

Workdays : Mon, Tue, Thu, Fri

WorkingHoursStart : 08:30 AM

WorkingHoursEnd : 05:00 PM

Job Schedule : Part-time

Job Type : Standard

Employee Status : Regular

Employee Group/Union Affiliation : NUE-SCAL-01|NUE|Non Union Employee

Job Level : Individual Contributor

Job Category : Behavioral Health, Social Services & Spiritual Care

Department : Bellflower MOB - Palliative Care - Admin - 0806

Travel : No

  • Case Manager Continuing Care

    1 week ago

    Bellflower, California, United States Kaiser Permanente Full time

    Job Summary:Coordinates with physicians, staff, and non-Kaiser providers/facilities regarding patient care/population based management for patients in specifically defined geriatric or other specifically defined patient populations (e.g., patients with a specific chronic disease, high risk patients) in order to plan and implement a comprehensive,...

  • Case Manager Continuing Care

    2 months ago

    Bellflower, United States Kaiser Permanente Full time

    **Job Summary**: Coordinates with physicians, staff, and non-Kaiser providers/facilities regarding patient care/population based management for patients in specifically defined geriatric or other specifically defined patient populations (e.g., patients with a specific chronic disease, high risk patients) in order to plan and implement a comprehensive,...

  • Case Manager Continuing Care

    2 weeks ago

    Bellflower, United States Kaiser Permanente Full time

    Job Summary:Coordinates with physicians, staff, and non-Kaiser providers/facilities regarding patient care/population based management for patients in specifically defined geriatric or other specifically defined patient populations (e.g., patients with a specific chronic disease, high risk patients) in order to plan and implement a comprehensive,...

  • Case Manager Continuing Care

    1 week ago

    Bellflower, United States Kaiser Permanente Full time

    Job Summary: Coordinates with physicians, staff, and non-Kaiser providers/facilities regarding patient care/population based management for patients in specifically defined geriatric or other specifically defined patient populations (e.g., patients with a specific chronic disease, high risk patients) in order to plan and implement a comprehensive,...

  • Case Manager Continuing Care

    2 weeks ago

    Bellflower, CA, United States Kaiser Permanente Full time

    Job Summary: Coordinates with physicians, staff, and non-Kaiser providers/facilities regarding patient care/population based management for patients in specifically defined geriatric or other specifically defined patient populations (e.g., patients with a specific chronic disease, high risk patients) in order to plan and implement a comprehensive,...

  • Case Manager Aod I Mc

    3 weeks ago

    Bellflower, United States Southern California Alcohol and Drug Programs, Inc. Full time

    About Us: **_VOALA_** **_Helping Our Most Vulnerable Change Their Life Stories_** **JOB SUMMARY AND PURPOSE** In training to be an AOD counselor, the Case Manager AOD I - MC provides services to beneficiaries participating in treatment and intensive case management services to eligible clients, meeting participants at least weekly. The Case Manager is the...

  • Case Manager AOD I MC

    1 month ago

    Bellflower, United States Southern California Alcohol and Drug Programs, Inc. Full time

    Job DescriptionJob DescriptionAbout Us:VOALAHelping Our Most Vulnerable Change Their Life StoriesVolunteers of America is a non-profit human services organization committed to serving people in need, strengthening families, and building communities. VOALA provides a variety of social services to Los Angeles area communities such as Head Start programs,...

  • Case Manager AOD I MC

    4 weeks ago

    Bellflower, United States Southern California Alcohol and Drug Programs, Inc. Full time

    Job DescriptionJob DescriptionAbout Us:VOALAHelping Our Most Vulnerable Change Their Life StoriesVolunteers of America is a non-profit human services organization committed to serving people in need, strengthening families, and building communities. VOALA provides a variety of social services to Los Angeles area communities such as Head Start programs,...

  • Case Manager Ii

    2 weeks ago

    Bellflower, United States Telecare Corporation Full time

    “They made it easier for me to live, breathe, eat, and stay clean. Without them, I’d be waiting somewhere, waiting for someone to give me a chance to live...” - Client from Telecare **What You Will Do to Change Lives** Under direct supervision, the Case Manager II serves as a primary support and case manager for individuals with mental illness and...

  • ALW Registered Nurse Care Coordinator

    1 week ago

    Bellflower, United States Steward Hospice Care Inc Full time

    Job DescriptionJob DescriptionBenefits:Health insuranceOpportunity for advancementJob descriptionSTEWARD HOSPICE CARE, INC. is seeking a full-time Registered Nurse Care Coordinator.Since our establishment in 2009, our mission has been to provide compassionate, personalized care and support to individuals facing medical conditions, ensuring their well-being...

  • ALW Registered Nurse Care Coordinator

    1 week ago

    Bellflower, United States Steward Hospice Care Inc Full time

    Job DescriptionJob DescriptionJob descriptionSTEWARD HOSPICE CARE, INC. is seeking a full-time Registered Nurse Care Coordinator.Since our establishment in 2009, our mission has been to provide compassionate, personalized care and support to individuals facing medical conditions, ensuring their well-being and recovery in their own homes or Assisted Living...

  • ALW Registered Nurse Care Coordinator

    1 week ago

    Bellflower, United States Steward Hospice Care Inc Full time

    Job DescriptionJob DescriptionBenefits:Health insuranceOpportunity for advancementJob descriptionSTEWARD HOSPICE CARE, INC. is seeking a full-time Registered Nurse Care Coordinator.Since our establishment in 2009, our mission has been to provide compassionate, personalized care and support to individuals facing medical conditions, ensuring their well-being...

  • Patient Care Coordinator

    2 days ago

    Bellflower, United States Optum Full time

    Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion,...

  • Business Office Manager for An Elder Facility in

    2 months ago

    Bellflower, United States Woodruff Care Home Full time

    **Business Office Manager** Woodruff Care Home is looking for an experienced Business Office Manager to join the Assisted Living Team. They are currently offering full-time, with benefits and opportunities for bonus and 401k. Come be a part of this dynamic team and help care for our lovely residents. Hours: TBD Pay: $20-25/hour DOE **Duties**: -...

  • Business Office Manager for An Elder Facility in

    3 weeks ago

    Bellflower, United States Woodruff Care Home Full time

    **Business Office Manager** Woodruff Care Home is looking for an experienced Business Office Manager to join the Assisted Living Team. They are currently offering full-time, with benefits and opportunities for bonus and 401k. Come be a part of this dynamic team and help care for our lovely residents. Hours: TBD Pay: $20-25/hour DOE **Duties**: -...

  • Business Office Manager for An Elder Facility in

    2 weeks ago

    Bellflower, United States Woodruff Care Home Full time

    **Business Office Manager** Woodruff Care Home is looking for an experienced Business Office Manager to join the Assisted Living Team. They are currently offering full-time, with benefits and opportunities for bonus and 401k. Come be a part of this dynamic team and help care for our lovely residents. Hours: TBD Pay: $20-25/hour DOE **Duties**: -...

  • Director of Rehabilitation

    1 week ago

    Bellflower, United States Ensign Affiliate Full time

    **DIRECTOR OF REHABILITATION **- **FULL TIME **- ROSE** VILLA HEALTHCARE **-** **BELLFLOWER, CA** **Occupational, Physical or Speech Therapist** **ROSE VILLA HEALTHCARE **is currently seeking an innovative OT, PT or SLP to lead our in-house therapy team. You will create and implement new rehabilitation programs for our deserving patients and manage the...

  • Registered Nurse Rn

    3 weeks ago

    Bellflower, United States Fresenius Medical Care Full time

    This is a FT RN position in our Bellflower, CA surgery center. You must be available to work one Saturday per month. Hours are 7:30am to 4:00pm. **PURPOSE AND SCOPE**: Supports FMCNA's mission, vision, core values and customer service philosophy. Adheres to the FVC/FMCNA Compliance Program, including following all regulatory and FVC/FMS policy...

  • Counselor AOD II Certified MC

    1 month ago

    Bellflower, United States Southern California Alcohol and Drug Programs, Inc. Full time

    Job DescriptionJob DescriptionAbout Us:Southern California Alcohol and Drug ProgramSouthern California Alcohol and Drug Programs, Inc. (SCADP) was established in 1972 in a grassroots effort by community members seeking alternatives to prison for individuals with substance use disorder (SUD). SCADP is a 501 (c) (3) non-profit organization providing...

  • Counselor AOD II Certified MC

    4 weeks ago

    Bellflower, United States Southern California Alcohol and Drug Programs, Inc. Full time

    Job DescriptionJob DescriptionAbout Us:Southern California Alcohol and Drug ProgramSouthern California Alcohol and Drug Programs, Inc. (SCADP) was established in 1972 in a grassroots effort by community members seeking alternatives to prison for individuals with substance use disorder (SUD). SCADP is a 501 (c) (3) non-profit organization providing...