Case Manager, Transplant LVN
2 months ago
Position Summary:
The Transplant Case Manager coordinates the care of the potential transplant candidate with the Transplant Center, member/family and Providers to facilitate the completion of the transplant process including evaluation, listing, transplantation and post-transplant care up to 1 year.
Essential Duties and Responsibilities include the following:
- Maintain ongoing communication with the members and ensure coordination of care between member and all providers.
- Work in collaboration with the respective medical directors, Prior Auth team, and inpatient team to discuss member candidacy, clinical eligibility, and medical stability.
- Keeps member/family members or other customers informed and requests if necessary, further assistance when needed.
- Demonstrates the ability to follow through with requests, sharing of critical information, and getting back to individuals in a timely manner.
- Functions as liaison between administration, members, physicians and other healthcare providers.
- Interacts professionally with member/family/physicians and involves member/family/physicians in formation of the plan of care.
- Develops an outcome-based plan of care, based on the member’s input and assessed member needs. Implements and evaluates the plan of care as often as needed as evidenced by documentation in the member’s case file.
- Documents member assessment and reassessment, member care plans, and other pertinent information completed in the member’s medical record in accordance with the FOCUS Charting methodology, nursing standards, and company policies and procedures.
- Educates the member/caregiver on the transition process and how to reduce unplanned transitions of care.
- Communicates appropriately and clearly with physicians, in patient case managers and Prior-Authorization nurses.
- Responsible for the coordination and facilitation of member and family conferences as determined by assessment of member’s needs.
- Identifies and addresses psychosocial needs of the members and family and facilitates consultations with Social Worker, as necessary.
- Ability to collaborate and communicate with all members of the healthcare team (concurrent review, pre-authorization, PCP/SPC, Social Services) to coordinate the continuum of care of developing plans for management of each case.
- Responsible for the identifying members that are appropriate for hospice conversion or Palliative care.
- Log member’s activity and send a summary report to the committee on a monthly basis.
- All other duties as directed by management.
The total compensation package for this position may also include other elements, including a sign-on bonus and discretionary awards in addition to a full range of medical, financial, and/or other benefits (including 401(k) eligibility and various paid time off benefits, such as vacation, sick time, and parental leave), dependent on the position offered.
Details of participation in these benefit plans will be provided if an employee receives an offer of employment.
If hired, employee will be in an “at-will position” and the Company reserves the right to modify base salary (as well as any other discretionary payment or compensation program) at any time, including for reasons related to individual performance, Company or individual department/team performance, and market factors.
As one of the fastest growing Independent Physician Associations in Southern California, Regal Medical Group, Lakeside Community Healthcare Affiliated Doctors of Orange County, offers a fast-paced, exciting, welcoming and supportive work environment. Opportunities abound, and enterprising, capable, focused people prosper with us. We promote teamwork, nurture learning, and encourage advancement for all of our employees. We want to see you excel, because we believe that your success is our success.
Full Time Position Benefits:
The success of any company depends on its employees. For us, employee satisfaction is crucial not only to the well-being of our organization, but also to the health and wellness of our members. As such, we are firmly dedicated to providing our employees the options and resources necessary for building security and maintaining a healthy balance between work and life.
Our dedication to our staff is evident in our comprehensive benefits package. We offer a very generous mixture of benefits, including many employer-paid options.
Health and Wellness:
- Employer-paid comprehensive medical, pharmacy, and dental for employees
- Vision insurance
- Zero co-payments for employed physician office visits
- Flexible Spending Account (FSA)
- Employer-Paid Life Insurance
- Employee Assistance Program (EAP)
- Behavioral Health Services
- 401k Retirement Savings Plan
- Income Protection Insurance
- Vacation Time
- Company celebrations
- Employee Assistance Program
- Employee Referral Bonus
- Tuition Reimbursement
- License Renewal CEU Cost Reimbursement Program
- Business-casual working environment
- Sick days
- Paid holidays
- Mileage
Requirements
Education and/or Experience:
- Graduate from an accredited Licensed Vocational Nursing Program.
- Current CA LVN license.
- 3 years acute care or care management experience.
- Typing 35 words per minutes with accuracy.
- Knowledge of computers, faxes, printers and all other office equipment.
- Knowledgeable in MS Office Programs (i.e., Word, Excel, Outlook, Access and PowerPoint)
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